Individual
BRADLEY NATHANAEL LEMKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 JOHN Q HAMMONS DR, STE 101, MADISON, WI 53717
(608) 829-7777
(608) 829-7778
Mailing address
1200 JOHN Q HAMMONS DR, STE 101, MADISON, WI 53717
(608) 829-7777
(608) 829-7778
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036111560
IL
207W00000X
Ophthalmology Physician
Primary
20222020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211192
MEDICARE CMS WPS STATE OF
IL
05
—
30337700
—
WI
Enumeration date
10/04/2006
Last updated
07/08/2007
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