JACK BIRCH

FORT CAMPBELL, KY
NPI1205682473
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WI  6001525)
Enumeration Date2024-04-27
Last Update Date2025-07-30
Business Address
JACK BIRCH
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8400
Mailing Address
JACK BIRCH
1801 W WISCONSIN AVE
MILWAUKEE, WI 53233-2186
Phone number:
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