Brian Neil Guttormsen, MD
Internal Medicine, Interventional Cardiology in Appleton, WI. Individual provider (NPI-1).
NPI number1629045232
StatusActive
Last updated in NPPESMar 16, 2020
Details
- NPI
- 1629045232
- Entity type
- Individual (NPI-1)
- Name
- Mr. Brian Neil Guttormsen
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 2, 2006
- Certification date
- Mar 16, 2020
- Last updated
- Mar 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0011X | Internal Medicine, Interventional Cardiology | 44932 | WI | Yes |
| 207R00000X | Internal Medicine | 44932 | WI | |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 44932 | WI |
Practice location
5045 W Grande Market DrAppleton, WI 54913-8517
Phone 920-886-9380 · Fax 920-886-9381
Mailing address
Po Box 88040Milwaukee, WI 53288-0040
Phone 920-886-9380 · Fax 920-886-9381
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