Individual
DIANA PANG DAO VANG-BROSTOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4929 W FOND DU LAC AVE, MILWAUKEE, WI 53216-2324
(414) 871-6122
(414) 871-2552
Mailing address
4929 W FOND DU LAC AVE, MILWAUKEE, WI 53216-2324
(414) 871-6122
(414) 871-2552
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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