Jonathan J Brodie, MD

NPI #1639134604 in Lake Mills, Wisconsin

Provider Information

NPI Number: 1639134604
Entity Type: Individual
Name: Jonathan J Brodie, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Apr 20, 2006
Last Updated: Nov 29, 2013

Practice Location

Address: 200 E TYRANENA PARK RD
City: Lake Mills
State: Wisconsin
ZIP Code: 53551-9678
Phone: (920) 648-3113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X
Family Medicine	207Q00000X	Primary

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