Individual
BRIAN D PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 HEWITT BLVD, RED WING, MN 55066-2848
(651) 267-5000
Mailing address
700 WEST AVE SOUTH, ATTN: PHYSICIAN SERVICES, LA CROSSE, WI 54601
(608) 392-9555
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
40472
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32497500
—
WI
Enumeration date
06/01/2005
Last updated
04/17/2026
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