Individual
BRIAN RESOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 MEMORIAL DR, BERLIN, WI 54923-1243
(920) 361-5340
(920) 361-5499
Mailing address
225 MEMORIAL DR, BERLIN, WI 54923-1243
(920) 361-5340
(920) 361-5499
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
162162-30
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
4822
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790075299
—
WI
Enumeration date
04/18/2011
Last updated
07/17/2017
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