Individual
MICHAEL ALLEN BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3056 S KINNICKINNIC AVE, MILWAUKEE, WI 53207-2583
(414) 769-4900
(414) 769-4910
Mailing address
4425 N PORT WASHINGTON RD, GLENDALE, WI 53212-1082
(414) 326-2218
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
64371
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780945857
—
WI
Enumeration date
06/05/2012
Last updated
09/01/2020
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