Individual
DR. BRADLEY WILLIAM EMMERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 SOUTH AVE, LA CROSSE, WI 54601-5467
(608) 782-7300
Mailing address
1900 SOUTH AVE, LA CROSSE, WI 54601-5467
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4351047937
MI
207P00000X
Emergency Medicine Physician
78053
MN
207P00000X
Emergency Medicine Physician
Primary
83274-20
WI
207P00000X
Emergency Medicine Physician
MD-53766
IA
Other
Enumeration date
04/02/2021
Last updated
10/07/2024
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