Individual
BRENDA BRAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
146 E GENEVA SQ, LAKE GENEVA, WI 53147-9694
(262) 249-5000
Mailing address
610 CRESTWOOD DR, WAUKESHA, WI 53188-4517
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
136188-30
NC
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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