Individual
BRIA RAYOME PROSOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 E MORRISSY DR, ELKHORN, WI 53121-4395
(262) 723-3100
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(262) 723-3100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
72307
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100101823
—
WI
Enumeration date
07/16/2018
Last updated
11/30/2022
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