Individual
DOMINIC BRYAN FEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF NEUROLOGY, MILWAUKEE, WI 53226-3522
(414) 805-5200
(414) 259-0469
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF NEUROLOGY, MILWAUKEE, WI 53226-3522
(414) 805-5200
(414) 259-0469
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
38855
KY
2084N0400X
Neurology Physician
Primary
39574
WI
2084N0600X
Clinical Neurophysiology Physician
38855
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841395902
—
WI
05
—
64085459
—
KY
Enumeration date
09/14/2006
Last updated
07/13/2015
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