Individual
DR. BRIAN KRISS BEVACQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 OVERLOOK TER, 112A, MADISON, WI 53705-2254
(608) 256-1901
(608) 280-7098
Mailing address
MADISON VAMC 2500 OVERLOOK TERRACE, 112A, MADISON, WI 53705
(608) 256-1901
(608) 280-7098
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
23925
WI
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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