Search › Wisconsin › 111N00000X
Bradley Kothlow, D.C
NPI 1447335609 · on the registry since 2006 · sole proprietor
Practice
- Address
- 314 Main St
Balsam Lake, WI 54810 - Phone
- (715) 485-3575
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin