Individual
BRENDAN DAVID SOTOMAYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
507 S MAIN ST, VIROQUA, WI 54665-2059
(608) 637-4202
Mailing address
507 S MAIN ST, VIROQUA, WI 54665-2059
(608) 637-4202
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
75832-20
WI
Other
Enumeration date
05/19/2016
Last updated
02/14/2022
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