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Individual

EMILY BRANDL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 805-3666
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2979
(414) 266-1616

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
10462
WI
363LP0200X
Pediatric Nurse Practitioner
202017725
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1285238188
WI
Enumeration date
11/23/2020
Last updated
03/08/2024
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