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Individual

MARK R BRUMM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 WEST AVE S, LA CROSSE, WI 54601-8806
(608) 392-9873
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0002
(608) 785-0940

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37349
WI

Other

Enumeration date
10/26/2005
Last updated
07/06/2021
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