Search › Wisconsin › 1223G0001X
Larry Wruck, D.D.S
NPI 1760533459 · on the registry since 2007 · sole proprietor
Practice
- Address
- 15855 W National Ave
Suite 104
New Berlin, WI 53151 - Phone
- (262) 782-4220
- Fax
- (262) 782-5471
- Organisation at this address
- Lang Family Eye Care Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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