Individual
DR. DAVID C BROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9000 W WISCONSIN AVE, PEDIATRIC EMERGENCY MEDICINE, MILWAUKEE, WI 53226-4874
(414) 266-2625
(414) 266-2635
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC EMERGENCY MEDICINE, MILWAUKEE, WI 53226-4874
(414) 266-2625
(414) 266-2635
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
38280
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002006261G
HUMANA
—
05
—
1245284595
—
WI
Enumeration date
05/20/2006
Last updated
02/11/2013
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