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Individual

ANDREW BROMIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
13250 WASHINGTON AVE, MT PLEASANT, WI 53177-1516
(262) 799-8700
Mailing address
4706 HARDING RD, KENOSHA, WI 53142-3159
(815) 354-9546

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100260723
WI
Enumeration date
09/08/2021
Last updated
04/12/2024
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