Bradford Daniel Withington NP

NPI 1255689642 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1255689642
Gender Male
Enumeration Date 08/16/2012
Last Updated 08/16/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1027 N 9TH ST
MILWAUKEE WI, 53233-1411, US
Phone (414) 765-0606
Fax (414) 765-0226
Business Location
413 N 2ND ST
UNIT 460
MILWAUKEE WI, 53203-3100, US
Phone (920) 254-6266
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Wisconsin
License Number 4938-33
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According to our database, Bradford Daniel Withington NP NPI is 1255689642, taxonomy code is 363L00000X and license number is 4938-33, license state is located at Wisconsin. Bradford Daniel Withington NP physically located at 1027 N 9th St, Milwaukee WI, 53233-1411. NPI Number Bradford Daniel Withington NP has the Individual type.

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1255689642 NPI number is provided on an as is basis without warranty of any kind. 1255689642 is maintained by the National Plan & Provider Enumeration System. The contents of Bradford Daniel Withington NP are for informational purposes only.