Individual
BRENDON NACEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
6502 GRAND TETON PLZ STE 107, MADISON, WI 53719-1047
(608) 820-1570
(608) 305-8848
Mailing address
6502 GRAND TETON PLZ STE 107, MADISON, WI 53719-1047
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
60947-20
WI
Other
Enumeration date
07/30/2010
Last updated
07/16/2024
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