Individual
BRIAN BRUNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
230 W CHRYSLER DR, BELVIDERE, IL 61008-6304
(815) 544-4790
(815) 547-4827
Mailing address
596 BAYFIELD DR, DEKALB, IL 60115-2319
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.288974
IL
Other
Enumeration date
08/27/2011
Last updated
08/27/2011
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