Individual
BRADLEY RICHARD BROSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
3400 MINISTRY PKWY, WESTON, WI 54476-5220
(715) 393-3000
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
10458-33
WI
363LF0000X
Family Nurse Practitioner
Primary
10458-33
WI
Other
Enumeration date
10/01/2020
Last updated
08/09/2024
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