Individual
DYLAN BRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
225 S EXECUTIVE DR, BROOKFIELD, WI 53005-4257
(608) 770-0908
Mailing address
2135 N LAKE DR, MILWAUKEE, WI 53202-1334
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
82-17
WI
367H00000X
Anesthesiologist Assistant
ANT.0000131
CO
Other
Enumeration date
06/14/2016
Last updated
06/07/2023
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