Brian J Blocher
Oral & Maxillofacial Surgeon
201 N Mayfair Rd Suite 520
Wauwatosa
, Wisconsin 53226
Brian J Blocher
Oral & Maxillofacial Surgeon
201 N Mayfair Rd Suite 520
Wauwatosa
, Wisconsin 53226
(414) 607-0220
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Brian J Blocher
- 201 N Mayfair Rd Suite 520
- Wauwatosa, WI
- Zip : 53226
- Fax : (414) 607-0220
- Phone : (414) 607-0222
Second Address
- Brian J Blocher
- 201 N Mayfair Rd Suite 520
- Wauwatosa, WI
- Zip : 53226
- Fax : (414) 607-0220
- Phone : (414) 607-0222
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 4002 | WI |
National Provider Identifier
| NPI | 1457416299 |
|---|---|
| Provider Name | Brian J Blocher |
| First Address | Wauwatosa, WI 53226 |
| Second Address | Wauwatosa, WI 53226 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/12/2006 |
| Last Update Date | 30/05/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 33683900 | (05) | WI |
| U35770 | (02) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.