Individual
MICHAEL C BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5040 LAKE MENDOTA DR, MADISON, WI 53705-1305
(773) 505-5738
(608) 263-0682
Mailing address
5040 LAKE MENDOTA DR, MADISON, WI 53705-1305
(773) 505-5738
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
60798
WI
2085R0204X
Vascular & Interventional Radiology Physician
Primary
60798
WI
Other
Enumeration date
02/15/2007
Last updated
01/31/2023
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