Individual
THOMAS R. BRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3119 S CLEMENT AVE, BAYVIEW, WI 53207-2835
(414) 486-1900
(414) 486-4148
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35542
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32217000
—
WI
01
—
P00627716
RR MEDICARE
WI
Enumeration date
08/24/2005
Last updated
11/24/2021
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