Individual
DR. BRANDON G GOLDBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
W63N541 HANOVER AVE, CEDARBURG, WI 53012-1917
(262) 375-2195
(262) 375-2273
Mailing address
W63N541 HANOVER AVE, CEDARBURG, WI 53012-1917
(262) 375-2195
(262) 375-2273
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5190-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40253900
—
WI
Enumeration date
07/28/2005
Last updated
07/08/2007
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