Individual
JOHN P BRIODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., SC
Contact information
Practice address
2820 ROOSEVELT RD, MARINETTE, WI 54143-3834
(715) 735-5225
(715) 735-5388
Mailing address
PO BOX 1866, GREEN BAY, WI 54305-1866
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
24359020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160052937
RR MEDICARE
—
05
—
30445700
—
WI
Enumeration date
10/03/2005
Last updated
10/28/2019
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