Individual
MARY M MILBRATH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19475 W NORTH AVE, SUITE 301, BROOKFIELD, WI 53045-4199
(262) 780-4444
(262) 780-4329
Mailing address
19475 W NORTH AVE, SUITE 301, BROOKFIELD, WI 53045-4199
(262) 780-4444
(262) 780-4329
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
29484
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31821900
—
WI
Enumeration date
09/07/2005
Last updated
07/08/2007
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