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Individual

MR. BRIAN A NOEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-0505
(414) 955-0231
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-0505
(414) 955-0231

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1044
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001856332H
HUMANA
05
1063464774
WI
Enumeration date
05/17/2006
Last updated
10/11/2022
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