Individual
DR. CAROLYN C BROOKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-5760
(414) 259-9115
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-5760
(414) 259-9115
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1001168
WI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
150661
NC
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
64325
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508028820
—
WI
Enumeration date
06/27/2008
Last updated
07/21/2022
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