Individual
BRIAN J CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
8701 WATERTOWN PLANK RD, WAUWATOSA, WI 53226-3548
(414) 955-8296
Mailing address
903 E KILBOURN AVE APT 61, MILWAUKEE, WI 53202-3456
(608) 769-7733
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/17/2023
Last updated
03/22/2024
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