Individual
BRANDON KENNETH SANTELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7137 236TH AVE STE 108, SALEM, WI 53168-8975
(262) 843-4643
Mailing address
1459 40TH CT, KENOSHA, WI 53144-2908
(262) 945-9961
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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