Individual
MARISA LORA BRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-6236
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
83762-20
WI
2080N0001X
Neonatal-Perinatal Medicine Physician
MT195410
PA
Other
Enumeration date
07/21/2009
Last updated
12/12/2024
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