Individual
RODERICK SCOTT BRODHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
W129N7055 NORTHFIELD DR, MENOMONEE FALLS, WI 53051-0538
(262) 253-5400
Mailing address
W129N7055 NORTHFIELD DR, MENOMONEE FALLS, WI 53051-0538
(262) 253-5400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
26539
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32084900
—
WI
Enumeration date
06/14/2006
Last updated
06/25/2020
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