Individual
BRYAN LANDRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2460 S 81ST ST, WEST ALLIS, WI 53219-1730
(920) 309-5480
Mailing address
2460 S 81ST ST, WEST ALLIS, WI 53219-1730
(920) 309-5480
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14696-33
WI
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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