Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADLEY ALLEN LOCKE, D.O.
ActiveBRADLEY ALLEN LOCKE, D.O. is a Pediatric Allergy/Immunology healthcare provider located in GREEN BAY, Wisconsin. NPI 1336300276 is currently active in the NPPES registry. Verify at CMS.
Pediatric Allergy/Immunology · GREEN BAY, WI
Registration Details
- NPI Number
- 1336300276
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 23, 2008 (18.098960455636 yrs)
- Last Updated
- Aug 5, 2014
- Licenses
-
55834 (WI)55834-020 (WI)
Practice Information
- Address
-
2793 LINEVILLE RDGREEN BAY, WI, 543137152Browse WI providers · Browse ZIP 54313
- Phone
- 9204964700
- Primary Specialty
-
Pediatric Allergy/Immunology
2080P0201X
- Additional Specialty
- Pediatric Allergy/Immunology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.