Bruss, Mikayla M

Bruss, Mikayla M is an individual health care provider with primary practice located at 9200 W Wisconsin Ave , Milwaukee WI 53226-3522. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Bruss, Mikayla M can be contacted via phone (414) 805-6000.

Contact Information

Primary practice address
9200 W Wisconsin Ave Milwaukee WI 53226-3522
Phone: (414) 805-6000
Fax: (414) 805-6280
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 14860 Wisconsin

Profile Details

NPI number 1619747094
LBN Legal business name Bruss, Mikayla M
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2024
Last updated Feb 28th, 2024 - about last year

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 1619747094 NPPES
Wisconsin MEDICAID 1619747094

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