Individual
DR. JENNIFER DANIELLE BRUENING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3666
Mailing address
2104 N PALMER ST, MILWAUKEE, WI 53212-3220
(612) 799-1392
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
76022
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100180096
—
WI
Enumeration date
06/13/2013
Last updated
12/02/2024
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