Individual
JOANNE RENELLE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2085 N CALHOUN RD, PROHEALTH CARE MEDICAL ASSOCIATES INC., BROOKFIELD, WI 53005-5003
(262) 928-7100
Mailing address
2085 N CALHOUN RD, PROHEALTH CARE MEDICAL ASSOCIATES INC., BROOKFIELD, WI 53005-5003
(262) 928-7100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40312-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34660900
—
WI
Enumeration date
06/30/2006
Last updated
04/23/2012
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