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Individual

DR. BRIANA BEAUCHENE CZYMBOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(602) 291-2039
Mailing address
2006 N 107TH ST, WAUWATOSA, WI 53226-2328
(602) 291-2039

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
5101020987
MI
2085R0202X
Diagnostic Radiology Physician
Primary
55457-021
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100047019
WI
Enumeration date
06/09/2009
Last updated
01/14/2022
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