Individual
CHRISTY M. BROCHHAUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
N84W16889 MENOMONEE AVE, MENOMONEE FALLS, WI 53051-2810
(262) 251-7500
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2285
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42003000
—
WI
01
—
P00941427
RR MEDICARE
WI
Enumeration date
06/19/2008
Last updated
11/29/2021
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