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1467544007
BRADLEY GREGG HANEBRINK
SHERIDAN, WY
NPI
1467544007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: WY 5140A)
Enumeration Date
2006-09-29
Last Update Date
2008-05-20
Business Address
BRADLEY GREGG HANEBRINK D.O.
1401 W 5TH ST SHERIDAN MEMORIAL HOSPITAL
SHERIDAN, WY 82801-2705
Phone number: 307-672-1000
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Mailing Address
BRADLEY GREGG HANEBRINK D.O.
PO BOX 767
SHERIDAN, WY 82801-0767
Phone number: 307-674-5123
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