Individual
BRADFORD DANIEL WITHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1027 N 9TH ST, MILWAUKEE, WI 53233-1411
(414) 765-0606
(414) 765-0226
Mailing address
413 N 2ND ST, UNIT 460, MILWAUKEE, WI 53203-3100
(920) 254-6266
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4938-33
WI
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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