Adam Bryant
Radiology, Diagnostic Radiology in Mequon, WI. Individual provider (NPI-1).
NPI number1447593165
StatusActive
Last updated in NPPESNov 17, 2023
Details
- NPI
- 1447593165
- Entity type
- Individual (NPI-1)
- Name
- Adam Bryant
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 1, 2013
- Certification date
- Nov 17, 2023
- Last updated
- Nov 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 70506 | WI | Yes |
Practice location
10945 N Port Washington Rd Ste 201Mequon, WI 53092-5078
Phone 262-292-3151
Mailing address
10945 N Port Washington Rd Ste 201Mequon, WI 53092-5078
Phone 414-434-0461
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