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Contact Information

TANNER D SIMPSON
3505 N 124TH ST
BROOKFIELD, WI53005
 Phone: 414-431-4444
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for TANNER D SIMPSON · (Male)

NPI # 1083261929
Status Active
Credentials
Entity Individual
Enumeration date 08/26/2019
Last updated 04/15/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • WI License # 12496-125
  • WI Medicaid 100279284
Hospital affiliation(s) Not Available
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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