Individual
DR. BRANDT M MYLOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
545 N 15TH ST, MILWAUKEE, WI 53233-2237
(414) 288-7184
(414) 288-1664
Mailing address
PO BOX 1881, MILWAUKEE, WI 53201-1881
(414) 288-7184
(414) 288-1664
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
42756
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497707152
—
WI
Enumeration date
05/17/2006
Last updated
01/09/2015
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