Individual
MRS. CHISOM O BRUNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
802 MEMORIAL DR, SPRING VALLEY, MN 55975-1024
(507) 288-3443
Mailing address
2110 FALCON TER NW, STEWARTVILLE, MN 55976-1052
(732) 439-2948
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12738
MN
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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