Individual
BROOKE LAEL CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2360 DUCK CREEK PKWY, GREEN BAY, WI 54303-3300
(920) 965-0345
Mailing address
4016 KIRKSVILLE RD, LANCASTER, KY 40444-8659
(859) 358-5612
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601012169
MI
363A00000X
Physician Assistant
Primary
7704
WI
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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