Individual
MICHAEL E BRUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 676-2310
Mailing address
8000 W 110TH ST, STE 150, OVERLAND PARK, KS 66210-2338
(913) 599-6777
(913) 599-3955
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
04-21276
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100123040B
—
KS
01
—
12497094
BCBS
—
05
—
203937917
—
MO
Enumeration date
07/20/2006
Last updated
06/27/2014
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