Individual
LAURA J BRUNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
701 WASHINGTON AVE STE A, IOWA FALLS, IA 50126-2102
(641) 648-2586
Mailing address
1215 DUFF AVE, AMES, IA 50010-5469
(515) 239-4400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32131
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1166520
—
IA
Enumeration date
08/05/2006
Last updated
10/02/2023
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