Individual
MICHAEL BRUNNQUELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3456
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
72331
MN
207R00000X
Internal Medicine Physician
DR.0060795
CO
Other
Enumeration date
04/08/2015
Last updated
08/15/2022
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