Individual
DR. ROBERT L BRUNK II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
802 LAPORTE AVE, SUITE 102, VALPARAISO, IN 46383-5860
(219) 477-5242
(219) 477-4859
Mailing address
2264 U. S. HWY 30, SUITE 111, VALPARAISO, IN 46385
(219) 477-5242
(219) 477-4859
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02001839A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02001839A
INDIANA LICENSE
IN
01
—
02001839B
CSR
IN
Enumeration date
05/19/2006
Last updated
03/07/2023
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