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Individual

DR. MONICA BRUNELLE

Active
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Individual

DR. MONICA BRUNELLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01024979
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000343057
ANTHEM BCBS
IN
01
0000003897
ANTHEM
IN
05
100058580
IN
05
100058580A
IN
01
112568798
RAILROAD MEDICARE
IN
01
314345668
TRICARE
IN
01
398887
WELLCARE
IN
01
4004135
AETNA US HEALTHCARE
IN
01
6313463005
CIGNA HEALTHCARE
IN
01
P00277621
RAILROAD MEDICARE
IN
01
P00283879
RAILROAD MEDICARE
IN
Enumeration date
08/24/2006
Last updated
01/08/2009
Update your record

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