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Brody Ilstrup

NPI 1578129102 · on the registry since 2019

Practice

Address
2001 Alford Park Dr
Kenosha, WI 53140
Phone
(612) 865-8656
Clinicians at this address
28

Registry record

Primary taxonomy
390200000X
390200000X
Sex
Male
Record last updated
2019-05-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin