Individual
ANDREA J BRACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 697-7000
(630) 734-1560
Mailing address
2549 N LAKE DR, APT. 5, MILWAUKEE, WI 53211-3816
(414) 232-6878
(630) 734-1560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
WI
Other
Enumeration date
06/24/2008
Last updated
01/19/2012
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