BRUCE A VAN DOMMELEN

SHEBOYGAN, WI
NPI1740278241
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: WI  28110)
Enumeration Date2005-10-10
Last Update Date2011-11-02
Business Address
-- BRUCE A VAN DOMMELEN MD
2920 SUPERIOR AVE
SHEBOYGAN, WI 53081-1944
Phone number: 920-458-3791
Mailing Address
-- BRUCE A VAN DOMMELEN MD
2920 SUPERIOR AVE
SHEBOYGAN, WI 53081-1944
Phone number: 920-458-3791
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