Individual provider · Type 1 NPI
Eric Joseph Braum, DMD
Student in an Organized Health Care Education/Training Program · Watertown, WI
NPI number
1750138202
Active
Practice location
1149 Boughton St Bldg B
Watertown, WI 53094-3104
Mailing address
7926 30th Ave
Kenosha, WI 53142-4612
Other practice locations
- 846 E Reinel St, Jefferson, WI 53549-9443 · (920) 674-6714
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 60015200-15 (WI) |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3 other providers at this address
Other student in an organized health care education/training program providers in Watertown
About NPI 1750138202
Eric Joseph Braum, DMD's National Provider Identifier is 1750138202, issued on May 2, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Watertown, WI. The record was last updated on Jun 1, 2024.