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1457978520
BRENNAN MICHAEL LEAVITT
STEVENS POINT, WI
NPI
1457978520
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: WI 1002344)
Enumeration Date
2020-07-06
Last Update Date
2020-07-06
Business Address
Dr. BRENNAN MICHAEL LEAVITT DMD
2201 DIVISION ST # B
STEVENS POINT, WI 54481-3662
Phone number: 715-341-1644
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Mailing Address
Dr. BRENNAN MICHAEL LEAVITT DMD
151487 FERN LN
WAUSAU, WI 54401-5108
Phone number: 208-989-7994
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