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Individual

DR. JEROLD BARRY BRENOWITZ

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2315 N LAKE DR, 703, MILWAUKEE, WI 53211
(414) 271-5119
(414) 271-3756
Mailing address
2315 N LAKE DR, 703, MILWAUKEE, WI 53211
(414) 271-5119
(414) 271-3756

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30326200
WI
Enumeration date
02/22/2006
Last updated
07/08/2007
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