JACK L BRICKNER

APPLETON, WI
NPI1215086566
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  5001371g)
Enumeration Date2007-01-09
Last Update Date2009-01-15
Business Address
Dr. JACK L BRICKNER DDS
5553 WATERFORD LN
APPLETON, WI 54913-8468
Phone number: 920-739-7165
Mailing Address
Dr. JACK L BRICKNER DDS
4540 ALGONQUIN TRL
GREEN BAY, WI 54313-9527
Phone number:
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