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Individual

ELSA BRUNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2801 COHO ST STE 300, MADISON, WI 53713-4531
(608) 273-3232
(608) 273-3426
Mailing address
2801 COHO ST STE 300, MADISON, WI 53713-4531
(608) 273-3232
(608) 273-3426

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3020154
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42591600
WI
Enumeration date
09/12/2008
Last updated
09/12/2008
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