Individual
MR. JEFFREY PETER BREJWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 GATEWAY CT, WEST BEND, WI 53095
(262) 335-8600
Mailing address
100 GATEWAY CT, WEST BEND, WI 53095-8539
(262) 335-8600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
65414
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100057893
—
WI
Enumeration date
04/11/2012
Last updated
07/21/2022
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