Individual
F. BRADFORD MEYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 HIGHLAND TER, WATERLOO, WI 53594-2217
(920) 478-2141
(920) 478-3820
Mailing address
105 HIGHLAND TER, WATERLOO, WI 53594-2217
(920) 478-2141
(920) 478-3820
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28978-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316025976
—
WI
Enumeration date
11/01/2006
Last updated
03/14/2021
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