SearchWisconsin1223G0001X

Michael Bruinooge, D.D.S

NPI 1427178011 · on the registry since 2007

Practice

Address
1003 Pearson Dr
Hudson, WI 54016
Phone
(715) 377-9966
Organisation at this address
Pdg, P.A.
St. Croix Valley Dental, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
1223G0001X
Licence states on file
MN, WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-12-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin