DR. Brian Joseph Waldau, D.M.D.

NPI #1578624730 in Mount Pleasant, Wisconsin

Provider Information

NPI Number: 1578624730
Entity Type: Individual
Name: DR. Brian Joseph Waldau, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Dec 12, 2006
Last Updated: Sep 12, 2018

Practice Location

Address: 1101 S AIRLINE RD
City: Mount Pleasant
State: Wisconsin
ZIP Code: 53406-3888
Phone: (262) 637-9371

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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