Brousseau, David C

Brousseau, David C is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Pediatric Emergency Medicine, Milwaukee WI 53226-4874. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Brousseau, David C can be contacted via phone (414) 266-2625.

Contact Information

Primary practice address
9000 W Wisconsin Ave Pediatric Emergency Medicine Milwaukee WI 53226-4874
Phone: (414) 266-2625
Fax: (414) 266-2635
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 38280 Wisconsin

Profile Details

NPI number 1245284595
LBN Legal business name Brousseau, David C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Feb 11th, 2013 - about 11 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 1245284595 NPPES
Other 002006261G HUMANA
MEDICAID 1245284595 HUMANA

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