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Individual
RICHARD EVANS BRUNER
Active
Individual
RICHARD EVANS BRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101010451
MI
208M00000X
Hospitalist Physician
Primary
OS014943
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102555527
—
PA
01
—
300098888
RAILROAD MEDICARE
MI
05
—
30062200
—
WI
05
—
3061888
—
MI
Enumeration date
07/26/2005
Last updated
09/12/2024
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