Individual
LARRY BRINKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
824 ILLINOIS AVE, STEVENS POINT, WI 54481-3112
(715) 342-7500
Mailing address
824 ILLINOIS AVE, STEVENS POINT, WI 54481-3112
(715) 342-7500
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036-068788
IL
207X00000X
Orthopaedic Surgery Physician
Primary
17962
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036068788
—
IL
01
—
17962-875
TEMP WI STATE LIC
WI
Enumeration date
02/14/2006
Last updated
02/17/2015
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