Individual
MATTHEW JAMES BRUENING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4500 MEMORIAL DR, MEMORIAL HOSPITAL, BELLEVILLE, IL 62223
(618) 257-4076
Mailing address
1305 MERGANSER BLVD, SWANSEA, IL 62226
(618) 222-2804
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
IL
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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