Individual
JUSTIN BRIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-7400
(414) 805-7388
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-7400
(414) 805-7388
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
68101
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100071932
—
WI
Enumeration date
03/24/2016
Last updated
08/28/2024
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