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1033284724
MICHAEL FULLER MCBRIDE
WAUWATOSA, WI
NPI
1033284724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: WI 34645)
Enumeration Date
2006-11-21
Last Update Date
2007-07-08
Business Address
-- MICHAEL FULLER MCBRIDE MD
1220 DEWEY AVE
WAUWATOSA, WI 53213
Phone number: 414-454-6610
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Mailing Address
-- MICHAEL FULLER MCBRIDE MD
1220 DEWEY AVE
WAUWATOSA, WI 53213
Phone number: 414-454-6610
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