Individual
MICHAEL ELDEN BRUNET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3351 MASONIC DR, ALEXANDRIA, LA 71301-3842
(318) 473-9556
(318) 441-8339
Mailing address
3444 MASONIC DR, ALEXANDRIA, LA 71301-3615
(318) 473-9556
(318) 441-8339
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD012256
LA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD012256
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1189081
—
LA
Enumeration date
02/16/2006
Last updated
04/29/2021
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