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Dr. Brady Robert Dorn, dc

Chiropractor in Oconomowoc, WI. Individual provider (NPI-1).

NPI number1124170675
StatusActive
Last updated in NPPESJan 9, 2025

Details

NPI
1124170675
Entity type
Individual (NPI-1)
Name
Dr. Brady Robert Dorn
Credential
dc
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 17, 2007
Certification date
Jan 9, 2025
Last updated
Jan 9, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor3622012WIYes

Practice location

888 Thackeray Trl
Suite 210
Oconomowoc, WI 53066-4342

Phone 262-560-9600 · Fax 262-560-9599

Mailing address

888 Thackeray Trl
Suite 210
Oconomowoc, WI 53066-4342

Phone 262-560-9600 · Fax 262-560-9599

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