Individual provider · NPI-1

Dr. Kathleen A Brass, M.D., PhD

Family Medicine · Waukesha, WI

NPI number1083815690
StatusActive
Last updated in NPPESJan 16, 2012

Details

NPI
1083815690
Entity type
Individual (NPI-1)
Name
Dr. Kathleen A Brass
Credential
M.D., PhD
Sex
Female
Sole proprietor
No
Enumeration date
May 30, 2007
Last updated
Jan 16, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine52837-20WIYes

Practice location

2130 Big Bend Rd
Prohealth Care Medical Associates
Waukesha, WI 53189-7624

Phone 262-928-7555

Mailing address

2130 Big Bend Rd
Prohealth Care Medical Associates
Waukesha, WI 53189-7624

Phone 262-928-7555

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