Brett R St John

NPI 1205192200 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1205192200
Gender Male
Enumeration Date 04/04/2012
Last Updated 04/04/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
2900 W OKLAHOMA AVE
MILWAUKEE WI, 53215-4330, US
Phone (414) 656-2550
Fax
Business Location
2801 W KINNICKINNIC RIVER PKWY
STE 530
MILWAUKEE WI, 53215-3669, US
Phone (414) 649-5534
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Wisconsin
License Number 4814
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According to our database, Brett R St John NPI is 1205192200, taxonomy code is 363L00000X and license number is 4814, license state is located at Wisconsin. Brett R St John physically located at 2900 W Oklahoma Ave, Milwaukee WI, 53215-4330. NPI Number Brett R St John has the Individual type.

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1205192200 NPI number is provided on an as is basis without warranty of any kind. 1205192200 is maintained by the National Plan & Provider Enumeration System. The contents of Brett R St John are for informational purposes only.