Individual
THOMAS J BROIHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5900 S. LAKE DRIVE, LAKESHORE MEDICAL CLINIC, CUDAHY, WI 53110-3171
(414) 489-4190
(414) 489-4015
Mailing address
100 - 15TH AVENUE, STE. 180, SOUTH MILWAUKEE, WI 53172-1160
(414) 489-4190
(414) 489-4015
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
31282
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32124500
—
WI
Enumeration date
11/01/2006
Last updated
11/03/2023
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