Individual
BRENTON M MEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
820 E GRANT ST, APPLETON, WI 54911-3483
(920) 831-5050
(920) 738-6400
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 830-5900
(920) 738-5787
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
56999
MN
207LP2900X
Pain Medicine (Anesthesiology) Physician
106990
MN
207LP2900X
Pain Medicine (Anesthesiology) Physician
55872
WI
207LP2900X
Pain Medicine (Anesthesiology) Physician
56999
MN
208VP0000X
Pain Medicine Physician
Primary
55872
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K400239021
MEDICARE PTAN
WI
01
—
K400239022
MEDICARE PTAN
WI
Enumeration date
07/16/2009
Last updated
05/02/2017
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