Jonathan J Brodie, MD | |
200 E Tyranena Park Rd, Lake Mills, WI 53551-9678 | |
(920) 648-3113 | |
Not Available |
Full Name | Jonathan J Brodie |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 200 E Tyranena Park Rd, Lake Mills, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639134604 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 30363 (Wisconsin) | Secondary |
207Q00000X | Family Medicine | 30363-20 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jonathan J Brodie, MD 200 E Tyranena Park Rd, Lake Mills, WI 53551-9678 Ph: (920) 648-3113 | Jonathan J Brodie, MD 200 E Tyranena Park Rd, Lake Mills, WI 53551-9678 Ph: (920) 648-3113 |
Mary E Miller, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 E Tyranena Park Rd, Lake Mills, WI 53551 Phone: 920-648-3113 Fax: 920-648-3656 | |
Dr. Veronica Rejon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 E Tyranena Park Rd, Lake Mills, WI 53551 Phone: 920-648-8393 | |
Jennifer Michele Philbin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 E Tyranena Park Rd, Lake Mills, WI 53551 Phone: 920-648-8393 Fax: 920-648-3656 |