BRUCE RICHARD BACON

MILWAUKEE, WI
NPI1720097371
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WR0400X Registered Nurse, Rehabilitation
(Licence: WI  122292-30)
Enumeration Date2006-08-05
Last Update Date2007-07-08
Business Address
Mr. BRUCE RICHARD BACON RN
5000 W NATIONAL AVE
MILWAUKEE, WI 53295-0001
Phone number: 414-384-2000
Mailing Address
Mr. BRUCE RICHARD BACON RN
2232 W GLEN HILLS CT
GLENDALE, WI 53209-3353
Phone number: 414-540-0772
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