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1760781900
BRENT THOMAS BOETTCHER
MILWAUKEE, WI
NPI
1760781900
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: WI 58704)
Enumeration Date
2011-03-26
Last Update Date
2017-07-13
Business Address
BRENT THOMAS BOETTCHER
9200 W WISCONSIN AVE DEPT OF ANESTHESIOLOGY
MILWAUKEE, WI 53226-3522
Phone number: 414-805-6104
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Mailing Address
BRENT THOMAS BOETTCHER
9200 W WISCONSIN AVE DEPT OF ANESTHESIOLOGY
MILWAUKEE, WI 53226-3522
Phone number: 414-805-6104
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