Individual provider · Type 1 NPI

Thomas Stephen Brundage

Student in an Organized Health Care Education/Training Program · Milwaukee, WI

NPI number 1184325052 Active

Practice location

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522

Call (414) 805-3000 Map

Mailing address

3333 Green Bay Rd
North Chicago, IL 60064-3037

Other practice locations

  • 3333 Green Bay Rd, North Chicago, IL 60064-3037 · (847) 578-3000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1184325052

Thomas Stephen Brundage's National Provider Identifier is 1184325052, issued on Mar 16, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Milwaukee, WI. The record was last updated on Mar 26, 2024.