Organization
BRD PHYSICIAN SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN J ROBERTSON-DICK MD (PRESIDENT)
(224) 777-8034
Entity
Organization
Contact information
Practice address
3200 S 103RD ST, MILWAUKEE, WI 53227-4104
(469) 640-6503
Mailing address
415 W GOLF RD STE 26, ARLINGTON HEIGHTS, IL 60005-3923
(224) 777-8034
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
11/05/2021
Last updated
01/19/2022
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