Individual
BRANDON VAN AMBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11739 W BRADLEY RD, MILWAUKEE, WI 53224-2531
(800) 723-4396
Mailing address
11739 W BRADLEY RD, MILWAUKEE, WI 53224-2531
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122933
MN
183500000X
Pharmacist
20255
WI
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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