Individual
BROOKE ASHLEY HARNISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
UCONN MEDICAL GROUP, 263 FARMINGTON AVENUE, FARMINGTON, CT 06030-0001
(860) 679-4100
(860) 679-1064
Mailing address
UCONN MEDICAL GROUP, 263 FARMINGTON AVENUE, FARMINGTON, CT 06030-0001
(860) 679-4100
(860) 679-1064
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
232874
MA
208800000X
Urology Physician
Primary
60198
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528233988
—
WI
Enumeration date
04/28/2008
Last updated
09/26/2022
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