Provider Demographics
NPI:1790482982
Name:WINKELMAN, BRADLEY CARL (APNP)
Entity Type:Individual
Prefix:MR
First Name:BRADLEY
Middle Name:CARL
Last Name:WINKELMAN
Suffix:
Gender:M
Credentials:APNP
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:1808 W BELTLINE HWY
Mailing Address - Street 2:ATTN: SSM HEALTH FOND DU LAC REGIONAL CLINIC
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53713-2334
Mailing Address - Country:US
Mailing Address - Phone:920-926-8343
Mailing Address - Fax:
Practice Address - Street 1:420 E DIVISION ST
Practice Address - Street 2:
Practice Address - City:FOND DU LAC
Practice Address - State:WI
Practice Address - Zip Code:54935-4560
Practice Address - Country:US
Practice Address - Phone:920-926-8420
Practice Address - Fax:920-926-8913
Is Sole Proprietor?:No
Enumeration Date:2023-02-08
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI13587-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily