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Individual

BRADLEY A WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AA

Contact information

Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8700
(414) 259-1522
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8700
(414) 259-1522

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
107
WI
367H00000X
Anesthesiologist Assistant
7387
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1427452580
WI
Enumeration date
10/20/2014
Last updated
12/28/2017
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