Individual
DR. STEPHANIE MICHAL BRUNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11030 GOLF LINKS DR STE 100, CHARLOTTE, NC 28277-8047
(704) 495-6970
Mailing address
5960 FAIRVIEW RD STE 500, CHARLOTTE, NC 28210-3113
(704) 495-6334
(844) 624-2406
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
202102083
NC
207R00000X
Internal Medicine Physician
35-126339
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013274778
—
NC
Enumeration date
04/19/2012
Last updated
01/23/2023
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