Individual
MICHAEL A BRODZELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
5595 COUNTY ROAD Z, WEST BEND, WI 53095-9224
(262) 306-2150
(262) 306-2151
Mailing address
5595 COUNTY ROAD Z, WEST BEND, WI 53095-9224
(262) 306-2150
(262) 306-2151
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1252
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40041900
—
WI
01
—
7742485
AETNA
WI
Enumeration date
06/20/2005
Last updated
11/03/2008
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