BRANDON MECKELBERG

CHAMPAIGN, IL
NPI1457871188
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IL  019.031228)
Enumeration Date2017-06-23
Last Update Date2017-06-23
Business Address
Dr. BRANDON MECKELBERG DDS
1902 N PROSPECT AVE STE 1
CHAMPAIGN, IL 61822-1411
Phone number: 217-408-2511
Mailing Address
Dr. BRANDON MECKELBERG DDS
N1838 N SILVER LAKE RD
WAUTOMA, WI 54982-7208
Phone number: 920-400-9009
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