Individual
BRANDON JAMES NIEBUHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 E RACINE ST, JANESVILLE, WI 53546-2344
(608) 373-8000
(608) 373-8795
Mailing address
10104 W CLEVELAND AVE, WEST ALLIS, WI 53227-3346
(414) 690-4415
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
153647
WI
Other
Enumeration date
06/13/2025
Last updated
08/22/2025
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