Provider Demographics
NPI:1730244583
Name:BORDINI, BRETT JOHN (MD)
Entity type:Individual
Prefix:DR
First Name:BRETT
Middle Name:JOHN
Last Name:BORDINI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:999 N 92ND ST
Mailing Address - Street 2:CHILDREN'S CORPORATE CENTER SUITE C560 PO BOX 1997
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-4875
Mailing Address - Country:US
Mailing Address - Phone:414-337-7050
Mailing Address - Fax:414-337-7020
Practice Address - Street 1:999 N 92ND ST
Practice Address - Street 2:CHILDREN'S CORPORATE CENTER SUITE C560
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-4875
Practice Address - Country:US
Practice Address - Phone:414-337-7050
Practice Address - Fax:414-337-7020
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2009-12-16
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Provider Licenses
StateLicense IDTaxonomies
WI51579-020208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics