Search › Wisconsin › 1223G0001X
Brent Tollerud, DMD
NPI 1861057085 · on the registry since 2019
Practice
- Address
- 210 W Capitol Dr
Milwaukee, WI 53212 - Phone
- (414) 288-2930
- Organisation at this address
- Outreach Community Health Centers, Inc
Outreach Community Health Centers, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 30
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-05-02
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