Individual
CHARLES F BRUMMITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, SUITE 475, MILWAUKEE, WI 53215-3669
(414) 649-3577
Mailing address
2801 W KINNICKINNIC RIVER PKWY STE 436, MILWAUKEE, WI 53215-3678
(414) 649-3577
(414) 649-3753
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
27932
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30569300
—
WI
01
—
4134851
AETNA
WI
Enumeration date
06/20/2005
Last updated
03/07/2023
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