Individual
JEFFREY BRUNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3630 GUION RD, INDIANAPOLIS, IN 46222-1616
(317) 920-7195
(317) 920-7551
Mailing address
PO BOX 638081, CINCINNATI, OH 45263-8081
(317) 920-7195
(317) 920-7551
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01033341
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100356580
—
IN
Enumeration date
07/13/2006
Last updated
03/21/2013
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