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BROTKOWSKI ACQUISITIONS LLC NPI 1528600863


NPI Information

NPI: 1528600863
Provider Name: BROTKOWSKI ACQUISITIONS LLC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
3000 WESTHILL DR STE 301
WAUSAU, WI
ZIP 54401
Phone: (715) 845-4511
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BROTKOWSKI ACQUISITIONS LLC is an oral and maxillofacial surgery dentist in Wausau, WI. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. BROTKOWSKI ACQUISITIONS LLC NPI is 1528600863. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3000 WESTHILL DR STE 301
WAUSAU, WI
ZIP 54401-795
Phone: (715) 845-4511
Fax: (715) 845-1898

The provider's authorized official is Eddie Brotkowski .
The authorized official title is Dds,md and has the following contact phone number (847) 612-3407.

The enumeration date for this NPI number is 10/8/2019 and was last updated on 10/8/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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