Individual
BRANDYN ROBERT BEHNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 433-8328
Mailing address
3038 QUARRY PARK DR APT 7, DE PERE, WI 54115-8350
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
198480-30
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
198480-30
WI
Other
Enumeration date
11/27/2019
Last updated
12/27/2021
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