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Individual

BRETT TWENTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2311 N PROSPECT AVE, MILWAUKEE, WI 53211-4445
(414) 319-3000
Mailing address
4425 N PORT WASHINGTON RD, ATTN: CSMCP CLINIC CREDENTIALING, GLENDALE, WI 53212-1082
(414) 319-3000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
45886
MN
207R00000X
Internal Medicine Physician
Primary
50200
WI

Other

Enumeration date
03/22/2006
Last updated
06/11/2012
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