Individual
BRIAN T PROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3237 S 16TH ST, MILWAUKEE, WI 53215-4526
(414) 290-6720
(414) 290-6755
Mailing address
111 E WISCONSIN AVE STE 2000, MILWAUKEE, WI 53202-4809
(414) 290-6720
(414) 290-6755
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
4704288432
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
8335-33
WI
Other
Enumeration date
02/26/2018
Last updated
04/03/2018
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