Individual
BREANNE MARIE COLLINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226
(414) 805-0505
(414) 955-0231
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-0505
(414) 955-0231
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7303
WI
363A00000X
Physician Assistant
PA61074838
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598300279
—
WA
05
—
1598300279
—
WI
Enumeration date
11/17/2019
Last updated
02/16/2024
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