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Contact Information

BRUCE F ANDREKUS, DDS,SC
3726 ROOSEVELT RD
KENOSHA, WI53142-1900
 Phone: 262-652-7956
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for BRUCE F ANDREKUS, DDS,SC

NPI Number 1104942432
LBN Legal business name BRUCE F ANDREKUS, DDS,SC
Authorized official BRUCE ANDREKUS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/21/2007
Last updated 06/11/2013 - About 13 years ago
Identifiers
WI License # 3650
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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