Individual
DR. BRADLEY BEGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3801 SPRING ST, RACINE, WI 53405-1667
(262) 898-7100
(262) 898-7171
Mailing address
1055 PRAIRIE DR # D, RACINE, WI 53406-3971
(262) 898-7100
(262) 898-7171
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
26917-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31776000
—
WI
Enumeration date
07/19/2006
Last updated
07/09/2007
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