Search › Wisconsin › Student in an Organized Health Care Education/Training Program
Brody Ilstrup
NPI 1578129102 · on the registry since 2019
Practice
- Address
- 2001 Alford Park Dr
Kenosha, WI 53140 - Phone
- (612) 865-8656
- Clinicians at this address
- 28
Registry record
- Primary taxonomy
- Student in an Organized Health Care Education/Training Program
390200000X
- Sex
- Male
- Record last updated
- 2019-05-20
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