BRIAN TA

MILWAUKEE, WI
NPI1275093635
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: WI  84000-20)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
390200000X Student in an Organized Health Care Education/Training Program
(Licence: OH  57.247340)
Enumeration Date2019-03-21
Last Update Date2024-10-16
Business Address
Dr. BRIAN TA MD
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215-4330
Phone number: 414-649-6000
Mailing Address
Dr. BRIAN TA MD
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250