Individual
BRYN LOCKWOOD SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
210 NW BARSTOW ST, WAUKESHA, WI 53188-3771
(262) 548-6903
Mailing address
9145 W WISCONSIN AVE APT 4, MILWAUKEE, WI 53226-3569
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
101190
WI
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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