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Organization

COMPREHENSIVE GENETIC SERVICES, SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTINE R BRYKE MD (PHYSICIAN)
(414) 393-1000
Entity
Organization

Contact information

Practice address
3720 N 124TH ST, SUITE I, MILWAUKEE, WI 53222-2100
(414) 393-1000
(414) 393-1399
Mailing address
3720 N 124TH ST, SUITE I, MILWAUKEE, WI 53222-2100
(414) 393-1000
(414) 393-1399

Taxonomy

Speciality
Code
Description
License number
State
207SC0300X
Clinical Cytogenetics Physician
33237
WI
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
33237
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
072446202
TRICARE
WI
01
120003406
WEA
WI
01
2132702001
AMERICHOICE
WI
01
32516200
MANAGED HEALTH
WI
05
32516200
WI
01
5241745
AETNA
WI
01
6344590
ABRI
WI
01
7400178
UNITED HEALTH CARE
WI
Enumeration date
10/25/2006
Last updated
12/31/2009
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