Individual
MS. JULIE MICHELLE BRUNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
7502 STATE RD, STE 3310, CINCINNATI, OH 45255-2596
(513) 624-1240
(513) 624-1290
Mailing address
7502 STATE RD, STE 3310, CINCINNATI, OH 45255-2596
(513) 624-1240
(513) 624-1290
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50001629
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00415967
MEDICARE RR
OH
Enumeration date
05/03/2007
Last updated
09/13/2011
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