Individual
DR. GREGORY BROTZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1121 E NORTH AVE, COLUMBIA-ST. MARY'S FAMILY PRACTICE, MILWAUKEE, WI 53212-3515
(414) 267-6500
(414) 267-3895
Mailing address
1121 E NORTH AVE, COLUMBIA-ST. MARY'S FAMILY PRACTICE, MILWAUKEE, WI 53212-3515
(414) 267-6500
(414) 267-3895
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29128
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000111J
HUMANA
—
05
—
1487605853
—
WI
Enumeration date
05/12/2006
Last updated
02/11/2013
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