Individual
FERDINAND M BRUTVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1925 E IRON ST, MILWAUKEE, WI 53207-2315
(414) 481-6331
Mailing address
1925 E IRON ST, MILWAUKEE, WI 53207-2315
(414) 481-6331
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
23399
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30810200
—
WI
Enumeration date
09/25/2006
Last updated
05/05/2010
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