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Jonathan Brodie, MD
NPI 1639134604 · on the registry since 2006
Practice
- Address
- 200 E Tyranena Park Rd
Lake Mills, WI 53551 - Phone
- (920) 648-3113
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Also registered as
- Emergency Medicine Physician
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-11-29
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