Individual
BRIAN J BROST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
237 W BROADWAY ST, BLAIR, WI 54616-9366
(608) 989-2020
(608) 989-2308
Mailing address
PO BOX 66, 237 W BROADWAY, BLAIR, WI 54616-0066
(608) 989-2020
(608) 989-2308
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3358
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141964862012
BCBS
WI
05
—
38898000
—
WI
Enumeration date
07/28/2005
Last updated
07/08/2007
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