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Individual

BRIAN CHRISTOFFERSON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
8901 N 76TH ST, MILWAUKEE, WI 53223-1901
(414) 354-0772
(414) 365-0773
Mailing address
8901 N 76TH ST, MILWAUKEE, WI 53223-1901
(414) 354-0772
(414) 365-0773

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1153-023
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42988900
WI
Enumeration date
06/05/2006
Last updated
07/08/2007
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