Individual
BRETT R ST JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 656-2550
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 649-5410
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4814
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100022360
—
WI
Enumeration date
04/04/2012
Last updated
10/09/2023
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