Individual
JORDAN MICHAEL BRUNSWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ROSE ST, ROOM M53, LEXINGTON, KY 40536
(859) 323-5083
(859) 323-8056
Mailing address
800 ROSE ST RM M53, LEXINGTON, KY 40536-0298
(859) 323-5908
(859) 323-8056
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
51435
KY
207P00000X
Emergency Medicine Physician
R3728
KY
Other
Enumeration date
06/27/2015
Last updated
06/22/2018
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