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Individual

BRADY G MCINTOSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9200 W WISCONSIN AVE, EMERGENCY MEDICINE, MILWAUKEE, WI 53226-3522
(414) 805-6450
(414) 805-6464
Mailing address
9200 W WISCONSIN AVE, EMERGENCY MEDICINE, MILWAUKEE, WI 53226-3522
(414) 805-6450
(414) 805-6464

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
11013891A
IN
207P00000X
Emergency Medicine Physician
Primary
63688
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1841495074
WI
Enumeration date
06/18/2007
Last updated
03/18/2015
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