Individual
MR. BRADLEY COLIN LEPKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
6609 W GREENFIELD AVE, WEST ALLIS, WI 53214-4958
(414) 257-8577
(414) 257-8505
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4942-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100025817
—
WI
Enumeration date
08/08/2012
Last updated
10/03/2024
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