Individual
BROOKE KATHLEEN CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
507 NORTH 17TH STREET, MILWAUKEE, WI 53233
(815) 993-8068
Mailing address
507 NORTH 17TH STREET, MILWAUKEE, WI 53233
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085009827
IL
Other
Enumeration date
02/20/2023
Last updated
10/10/2023
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