Organization
BRAZEAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BRAZEAL (STUDENT INTERN)
(520) 236-3343
Entity
Organization
Contact information
Practice address
197 W CHESTNUT ST, BURLINGTON, WI 53105-1200
(520) 236-3343
Mailing address
4255 WILDERNESS DR, MT PLEASANT, WI 53403-4400
(520) 236-3343
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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