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Individual

DR. SUSAN CAROL BRUNSELL

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
NNMC---EXECUTIVE HEALTH, 8901 WISCONSIN AVE, BETHESDA, MD 20889-0001
(301) 319-4409
Mailing address
13604 CREKKSIDE DR, SILVER SPRING, MD 20904
(301) 879-4764

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0053943
MD
207Q00000X
Family Medicine Physician
MD31293
DC

Other

Enumeration date
01/24/2006
Last updated
07/08/2007
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