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Individual

DR. CAMERON CRAIG BREWER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
11514 N PORT WASHINGTON RD, SUITE # 3A, MEQUON, WI 53092-3457
(262) 292-6005
Mailing address
11514 N PORT WASHINGTON RD, SUITE # 3A, MEQUON, WI 53092-3457
(262) 292-6005

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3030-57
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000054176-K400129278
WI MEDICARE
WI
01
1255670360
BCBSWI
WI
05
1255670360
WI
01
3418
MERCYCARE INSURANCE
WI
Enumeration date
02/08/2013
Last updated
10/15/2018
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