Individual
DR. JON DAVID BRETHAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8901 W LINCOLN AVE, WEST ALLIS, WI 53227-2409
(414) 328-6000
Mailing address
8901 W LINCOLN AVE, WEST ALLIS, WI 53227-2409
(414) 328-6000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
48870-021
WI
Other
Enumeration date
11/12/2006
Last updated
11/29/2021
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