NPI 1457416299

Brian J Blocher, DDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Wauwatosa, WI

Practice location

Address: 201 N Mayfair Rd Suite 520, Wauwatosa, WI 53226
Phone: (414) 607-0222
Fax: (414) 607-0220

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 4002 (WI)

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Registry record

NPI: 1457416299
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Dec 2006
Record last updated: 30 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.