Individual
DR. JOHN KENNEDY BRUNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9488 SHORE RD, FISH CREEK, WI 54212-9696
(920) 912-2563
Mailing address
9488 SHORE RD, FISH CREEK, WI 54212-9696
(920) 912-2563
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
4088-012
WI
Other
Enumeration date
11/30/2006
Last updated
04/22/2013
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