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1942555941
BRYAN JAMES MICK
APPLETON, WI
NPI
1942555941
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WI 696115)
Enumeration Date
2012-07-17
Last Update Date
2012-07-17
Business Address
Dr. BRYAN JAMES MICK DDS
5337 W GRANDE MARKET DR
APPLETON, WI 54913-8442
Phone number: 920-731-7445
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Mailing Address
Dr. BRYAN JAMES MICK DDS
5337 W GRANDE MARKET DR
APPLETON, WI 54913-8442
Phone number: 920-731-7445
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