Individual
BRIAN A. MCCARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3077 N MAYFAIR RD STE 100, WAUWATOSA, WI 53222-4305
(414) 384-6700
(414) 727-1058
Mailing address
3077 N MAYFAIR RD STE 305, WAUWATOSA, WI 53222-4305
(414) 384-6700
(414) 727-1058
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
42733
WI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
42733
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34052500
—
WI
Enumeration date
03/15/2006
Last updated
02/25/2020
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