Brooke Birling PA

NPI 1063619336 - Physician Assistant - 363A00000X

NPI Details
NPI 1063619336
Gender Female
Enumeration Date 06/29/2007
Last Updated 03/19/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
1420 ALGOMA ST
NEW LONDON WI, 54961-2104, US
Phone (920) 982-8300
Fax
Business Location
1420 ALGOMA ST
NEW LONDON WI, 54961-2104, US
Phone (920) 982-8300
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Wisconsin
License Number 2145-023
Remove 1063619336 NPI Number
 

According to our database, Brooke Birling PA NPI is 1063619336, taxonomy code is 363A00000X and license number is 2145-023, license state is located at Wisconsin. Brooke Birling PA physically located at 1420 Algoma St, New London WI, 54961-2104. NPI Number Brooke Birling PA has the Individual type.

Sponsored links

1063619336 NPI number is provided on an as is basis without warranty of any kind. 1063619336 is maintained by the National Plan & Provider Enumeration System. The contents of Brooke Birling PA are for informational purposes only.