Individual
BRAD T WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
709 SPRING VALLEY RD, BURLINGTON, WI 53105-7614
(262) 676-6020
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3027
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100027812
—
WI
Enumeration date
09/14/2012
Last updated
06/13/2025
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