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Individual

BROOKE ELIZABETH PASSOLT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
W180N8000 TOWN HALL RD, MENOMONEE FALLS, WI 53051-4002
(262) 532-3700
(262) 532-3725
Mailing address
W180N8000 TOWN HALL RD, MENOMONEE FALLS, WI 53051-4002
(262) 532-3700
(262) 532-3725

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
65361-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1669715108
WI
Enumeration date
04/03/2013
Last updated
12/30/2025
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