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Individual

DR. JEANNETTE E BRASSEUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P,T.

Contact information

Practice address
4158 N STOWELL AVE, MILWAUKEE, WI 53211-1744
(414) 962-1703
Mailing address
4158 N STOWELL AVE, MILWAUKEE, WI 53211-1744
(414) 962-1703

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
543-024
WI
225100000X
Physical Therapist
54324
WI

Other

Enumeration date
10/14/2008
Last updated
12/29/2009
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