Most Relevant Information
Provider Data
| NPI Number: | 1003495623 |
| Provider Name: | BRIGITTE VANLE MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/02/2021 |
| Last Updated: | 04/02/2021 |
Provider Practice Location
8701 WATERTOWN PLANK RD
DEPARTMENT OF SURGERY DIVISION OF EDUCATION
MILWAUKEE
WI
53226
Practice Location Phone/Fax
| Phone: | 4149551833 |
| Fax: |
Provider Mailing Location
1500 N 1ST ST APT 111
WAUSAU
WI
544033595
Provider Mailing Phone/Fax
| Phone: | 9493380179 |
| Fax: |