NPI 1558767640

Grant Brooks

Practitioner Rehabilitation Practitioner Madison, WI

Practice location

Address: 202 S Park St, Madison, WI 53715-1507
Phone: (608) 417-6000
Mailing address: 202 S Park St Meriter Hospital, INC, Madison, WI 53715-1507

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence 225400000 (WI)

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Registry record

NPI: 1558767640
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Nov 2014
Record last updated: 26 Nov 2014

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.