Individual
MICHAEL FULLER MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1220 DEWEY AVE, WAUWATOSA, WI 53213
(414) 454-6610
(414) 454-6644
Mailing address
1220 DEWEY AVE, WAUWATOSA, WI 53213
(414) 454-6610
(414) 454-6644
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34645
WI
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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