Individual
BRANDON THOMAS LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 785-0940
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0002
(608) 785-0940
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1195
WI
Other
Enumeration date
04/11/2018
Last updated
08/28/2024
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