Individual
BRENT E BRUNSTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1410 6TH AVE S, CLEAR LAKE, IA 50428-2606
(641) 357-2191
(641) 357-6020
Mailing address
621 S ILLINOIS AVE, SUITE 103, MASON CITY, IA 50401-5489
(641) 494-3041
(641) 494-3059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24263
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17004
WELLMARK
IA
05
—
2029439
—
IA
Enumeration date
08/21/2006
Last updated
11/21/2023
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