Michael E Brouette, PA-C Valid NPI

Individual provider · Physician Assistant · Portage, WI

NPI

1437132669

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

1860023 (WI)

Sex

Male

Sole proprietor

No

Enumerated

2005-11-22

Last updated

2020-11-04