Individual
BRYAN EDWARD PARKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4871
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100094161
—
WI
Enumeration date
07/28/2019
Last updated
01/13/2025
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