Individual
DR. DONNA M BRUNELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2305 30TH AVE, KENOSHA, WI 53144-1411
(262) 597-2020
(262) 597-5452
Mailing address
2305 30TH AVE, KENOSHA, WI 53144-1411
(262) 597-2020
(262) 597-5452
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
WI2287
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38594600
—
WI
Enumeration date
07/08/2006
Last updated
07/08/2007
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