Dr. John R Brill, MD
Family Medicine in Milwaukee, WI. Individual provider (NPI-1).
NPI number1285643932
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1285643932
- Entity type
- Individual (NPI-1)
- Name
- Dr. John R Brill
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2006
- Certification date
- Nov 29, 2021
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 33860 | WI | Yes |
Practice location
2801 W Kinnickinnic River Pkwy#250
Milwaukee, WI 53215
Phone 414-649-6732 · Fax 414-649-3361
Mailing address
3301 W Forest Home AveMilwaukee, WI 53215-2843
Phone 414-647-6326 · Fax 414-671-8860
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