Individual
MR. BRENT SCHWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8710
(414) 805-1101
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8710
(414) 805-1101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11967-33
WI
363LA2200X
Adult Health Nurse Practitioner
Primary
11967
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255066767
—
WI
Enumeration date
07/19/2022
Last updated
05/25/2023
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