Individual
MR. BRANDON ERIC MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
225 MEMORIAL DR, BERLIN, WI 54923-1243
(920) 361-5538
(920) 361-5499
Mailing address
PO BOX 2759, APPLETON, WI 54912-2759
(920) 830-5900
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13414
WI
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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