Brian T Prost, CRNA
Nurse Anesthetist, Certified Registered in Milwaukee, WI. Individual provider (NPI-1).
Details
- NPI
- 1669973632
- Entity type
- Individual (NPI-1)
- Name
- Brian T Prost
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 26, 2018
- Last updated
- Apr 3, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 8335-33 | WI | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | 4704288432 | MI |
Practice location
3237 S 16th StMilwaukee, WI 53215-4526
Phone 414-290-6720 · Fax 414-290-6755
Mailing address
111 E Wisconsin Ave Ste 2000Milwaukee, WI 53202-4809
Phone 414-290-6720 · Fax 414-290-6755
Other practice locations
Milwaukee, WI 53210-1650
Phone 414-290-6720 · Fax 414-290-6755
Brookfield, WI 53045-4132
Phone 414-290-6720 · Fax 414-290-6755
Franklin, WI 53132-7209
Phone 414-290-6720 · Fax 414-290-6755
Wauwatosa, WI 53226-4216
Phone 414-290-6720 · Fax 414-290-6755
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