NPI 1528407376

Brian a White, AA

Practitioner Anesthesiologist Assistant Wauwatosa, WI

Practice location

Address: 4025 N 92nd St, Wauwatosa, WI 53222-1613
Phone: (414) 358-5431

Registered specialties

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 35 (WI)

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Registry record

NPI: 1528407376
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jun 2013
Record last updated: 13 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.