Individual
BRENTON H FIELD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12203 CORPORATE PKWY, MEQUON, WI 53092-3388
(262) 387-8200
(262) 387-8271
Mailing address
3003 W GOOD HOPE ROAD, MILWAUKEE, WI 53209
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17844
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30915600
—
WI
01
—
P00460092
RR MEDICARE
WI
Enumeration date
07/07/2006
Last updated
11/10/2010
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