Individual
DR. LISA MARIE BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY STE 680, MILWAUKEE, WI 53215-3633
(414) 385-1922
(414) 385-1899
Mailing address
12860 PINEWOOD RD, BROOKFIELD, WI 53005-3843
(414) 243-6991
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9591-33
WI
Other
Enumeration date
12/10/2019
Last updated
11/24/2021
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