Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN J BRODIE, MD
ActiveJONATHAN J BRODIE, MD is a Family Medicine healthcare provider located in LAKE MILLS, Wisconsin. NPI 1639134604 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LAKE MILLS, WI
Registration Details
- NPI Number
- 1639134604
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 20, 2006 (20.135152727469 yrs)
- Last Updated
- Nov 29, 2013
- Licenses
-
30363 (WI)30363-20 (WI)
Practice Information
- Address
-
200 E TYRANENA PARK RDLAKE MILLS, WI, 535519678Browse WI providers · Browse ZIP 53551
- Phone
- 9206483113
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in LAKE MILLS, WI
| Name | Credential | NPI |
|---|---|---|
| JENNIFER MICHELE PHILBIN | MD | 1528084209 |
| MARY E MILLER | MD | 1356411292 |
| DR. VERONICA REJON | MD | 1497069231 |
| WHITNEY MARIE VAN REESEN | M.D. | 1558780221 |
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.