Individual
MR. JOSHUA PHILIP BRUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
12709 GRAND STATION DR, FORT WAYNE, IN 46814-8958
(260) 251-5674
Mailing address
12709 GRAND STATION DR, FORT WAYNE, IN 46814-8958
(260) 251-5674
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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