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1952562761
ANDREA J BRACKMAN
KENOSHA, WI
NPI
1952562761
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Former Name
ANDREA J. SIROTAK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2008-06-24
Last Update Date
2012-01-19
Business Address
-- ANDREA J BRACKMAN P.A.
10400 75TH ST
KENOSHA, WI 53142-7884
Phone number: 262-697-7000
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Mailing Address
-- ANDREA J BRACKMAN P.A.
2549 N LAKE DR APT. 5
MILWAUKEE, WI 53211-3816
Phone number: 414-232-6878
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