Individual
LEE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
431 MARION RD APT 208, OSHKOSH, WI 54901-4730
(641) 751-7763
Mailing address
431 MARION RD APT 208, OSHKOSH, WI 54901-4730
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1105550-30
WI
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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