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Individual

MS. AMANDA M. BRANDOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
9000 W WISCONSIN AVE, PEDIATRIC HEMATOLOGY/ONCOLOGY, MILWAUKEE, WI 53226-4874
(414) 277-8900
(414) 456-6543
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC HEMATOLOGY/ONCOLOGY, MILWAUKEE, WI 53226-4874
(414) 277-8900
(414) 456-6543

Taxonomy

Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
46333
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1316961113
WI
05
43513300
WI
Enumeration date
07/26/2006
Last updated
08/02/2012
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