Individual
BRANDON L. PARKHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3603 SCHNEIDER AVE SE, MENOMONIE, WI 54751-5674
(715) 233-6400
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40218
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34004300
—
WI
Enumeration date
09/26/2006
Last updated
09/02/2011
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