Individual
BRIAN R HIRSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4855 S MOORLAND RD STE 150, NEW BERLIN, WI 53151-7495
(414) 425-5660
(414) 425-9803
Mailing address
9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
72635-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417941097
—
WI
Enumeration date
09/09/2005
Last updated
07/06/2022
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