Female

Marisa L. Brant M.D.

Neonatal-Perinatal Medicine Physician in Madison, WI(View on Map)

Full Name

Marisa Lora Brant M.D.

NPI Number

1083844393

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/21/2009

Specialties

(Taxonomies)

Code

2080N0001X

Primary Taxonomy

Yes

Licenses

State

Pennsylvania
Wisconsin

License Number

MT195410
83762-20

Contact
Information

Purpose

Mailing
Location

Address

7974 UW HEALTH CT
202 S PARK ST

City

Middleton
Madison

State

WI
WI

Postal Code

53562-5531
53715-1507

Country

US
US

Telephone Number

N/A
(608) 417-6236

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/31/2024

Provider Address

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