Staley A Brod M.D.

NPI 1740217322 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1740217322
Gender Male
Enumeration Date 06/27/2006
Last Updated 04/21/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
9200 W WISCONSIN AVE
DEPARTMENT OF NEUROLOGY
MILWAUKEE WI, 53226-3522, US
Phone (414) 805-5200
Fax (414) 259-0469
Business Location
9200 W WISCONSIN AVE
DEPARTMENT OF NEUROLOGY
MILWAUKEE WI, 53226-3522, US
Phone (414) 805-5200
Fax (713) 512-2239
Toxanomy
Taxonomy Code 2084N0400X
License State Texas
License Number J0923
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According to our database, Staley A Brod M.D. NPI is 1740217322, taxonomy code is 2084N0400X and license number is J0923, license state is located at Texas. Staley A Brod M.D. physically located at 9200 W Wisconsin Ave, Milwaukee WI, 53226-3522. NPI Number Staley A Brod M.D. has the Individual type.

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1740217322 NPI number is provided on an as is basis without warranty of any kind. 1740217322 is maintained by the National Plan & Provider Enumeration System. The contents of Staley A Brod M.D. are for informational purposes only.