Individual
DR. BRANDON ANDREW BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
125 N EXECUTIVE DR, SUITE 105, BROOKFIELD, WI 53005-6070
(262) 784-7201
(262) 784-0542
Mailing address
1508 3RD ST, DELAFIELD, WI 53018-1912
(414) 803-7991
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5526-015
WI
Other
Enumeration date
06/12/2006
Last updated
07/08/2007
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