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1447254305
TIMOTHY BREKKE DURTSCHE
LA CROSSE, WI
NPI
1447254305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: WI 2244)
Enumeration Date
2005-06-09
Last Update Date
2007-07-08
Business Address
Dr. TIMOTHY BREKKE DURTSCHE D.D.S.
615 10TH ST S
LA CROSSE, WI 54601-4768
Phone number: 608-784-7319
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Mailing Address
Dr. TIMOTHY BREKKE DURTSCHE D.D.S.
615 10TH ST S
LA CROSSE, WI 54601-4768
Phone number: 608-784-7319
Copy
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