Individual
DANIEL BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1205 W AMERICAN DR, NEENAH, WI 54956-1405
(920) 430-8113
Mailing address
2223 LIME KILN RD STE 1, GREEN BAY, WI 54311-6213
(920) 430-8113
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
71871-21
WI
208VP0014X
Interventional Pain Medicine Physician
Primary
71871-21
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2018
Last updated
09/04/2023
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