Individual
BRANDON MOUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 HALE STREET, VETERANS ADMINISTRATION CBOC WISCONSIN RAPIDS, WISCONSIN RAPIDS, WI 54495
(715) 424-4682
Mailing address
700 HALE ST, WISCONSIN RAPIDS, WI 54495-2787
(715) 424-4682
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7606620
WI
Other
Enumeration date
05/24/2019
Last updated
09/09/2022
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