Individual
BRIAN P. MCSORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14555 W NATIONAL AVE, NEW BERLIN, WI 53151-4494
(262) 827-2955
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26235
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30762200
—
WI
01
—
P00627772
RR MEDICARE
WI
Enumeration date
09/08/2005
Last updated
05/20/2025
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