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Contact Information

BRYAN A AVERY, MD
1506 S ONEIDA ST
APPLETON, WI54915-1305
 Phone: 920-730-6700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BRYAN A AVERY · (Male)

NPI Number 1548254568
Status Active
Credentials MD
Entity Individual
Enumeration date 09/06/2005
Last updated 02/23/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 27537
  • WI Medicaid 31676700
Hospital affiliation(s)
  • ST ELIZABETH HSPTL - (Acute Care)
    1506 S ONEIDA ST
    APPLETON, WI 54915
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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