Individual
ANDREW BRUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1542 TULANE AVE RM 659, NEW ORLEANS, LA 70112-2865
(608) 792-7859
Mailing address
131 MILLAUDON ST, NEW ORLEANS, LA 70118-3629
(608) 792-7859
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0089367
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2413937
—
LA
Enumeration date
04/07/2016
Last updated
05/21/2020
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