Individual
WILLIAM CARL BRUNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
320 N 6TH AVE, SUITE 1, FRISCO, CO 80443-1860
(402) 680-8332
(970) 668-0651
Mailing address
PO BOX 1860, FRISCO, CO 80443-1860
(402) 680-8332
(970) 668-0651
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
15798
WI
2084P0800X
Psychiatry Physician
30115
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000907
MEDICARE PT B
WI
05
—
775702
—
AZ
Enumeration date
08/08/2006
Last updated
10/10/2016
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