Dr. Michael J Brockman
Obstetrician & Gynecologist
2845 Greenbrier Rd #420
Green Bay
, Wisconsin 54308-8900
Dr. Michael J Brockman
Obstetrician & Gynecologist
2845 Greenbrier Rd #420
Green Bay
, Wisconsin 54308-8900
(414) 671-8860
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Dr. Michael J Brockman
- 3301 W Forest Home Ave
- Milwaukee, WI
- Zip : 53215-2843
- Fax : (414) 671-8860
- Phone : (414) 647-6326
Second Address
- Dr. Michael J Brockman
- 2845 Greenbrier Rd #420
- Green Bay, WI
- Zip : 54308-8900
- Fax : (920) 288-8461
- Phone : (920) 288-8400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | 29068 | WI |
National Provider Identifier
| NPI | 1023027703 |
|---|---|
| Provider Name | Dr. Michael J Brockman |
| First Address | Milwaukee, WI 53215-2843 |
| Second Address | Green Bay, WI 54308-8900 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/08/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 31391000 | (05) | WI |
| B84726 | (02) | |
| BB0624785 | DEA NUMBER (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.