Individual
LYNDSEY MARIE BRATBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
F&MCW CLINICAL CANCER CENTER 9200 W. WISCONSIN AVE., MILWAUKEE, WI 53226
(414) 805-0505
(414) 805-2934
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-4660
(414) 805-2934
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962056432
—
WI
Enumeration date
08/01/2019
Last updated
08/07/2020
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