Individual
DR. BAPTISTE WILLIAM BRUNNER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
67250 INDUSTRY LN, STE B, COVINGTON, LA 70433-8716
(985) 892-3456
(985) 892-3499
Mailing address
301 SILVER OAKS LN, RIVER RIDGE, LA 70123-2030
(504) 737-2999
(504) 737-3999
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
010614
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1365939
—
LA
Enumeration date
06/15/2005
Last updated
12/17/2008
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