Individual
TEAGAN BRUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1506 S ONEIDA ST, APPLETON, WI 54915-1305
(920) 738-2000
Mailing address
113 WESTBROOK DR, OSHKOSH, WI 54904-7819
(715) 851-5517
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
PAR-0000133002
WI
363A00000X
Physician Assistant
Primary
7588-23
WI
Other
Enumeration date
08/16/2023
Last updated
09/09/2025
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