Individual
JON-MICHAEL BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 MEDICAL PARK, WHEELING, WV 26003-6379
(304) 243-3000
Mailing address
16 LEATHERWOOD LN APT 4, WHEELING, WV 26003-6447
(304) 312-3650
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/07/2018
Last updated
07/07/2018
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