Brodzeller, Michael A

Brodzeller, Michael A is an individual health care provider with primary practice located at 5595 County Road Z , West Bend WI 53095-9224. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Brodzeller, Michael A can be contacted via phone (262) 306-2150.

Contact Information

Primary practice address
5595 County Road Z West Bend WI 53095-9224
Phone: (262) 306-2150
Fax: (262) 306-2151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1252 Wisconsin

Profile Details

NPI number 1194720789
LBN Legal business name Brodzeller, Michael A
Credentials B.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Nov 3rd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194720789 NPPES
Wisconsin MEDICAID 40041900
Wisconsin Other 7742485

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