Individual
DR. JOHN H BRUNSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16146 CLEVELAND ST, REDMOND, WA 98052-4318
(425) 885-7004
(425) 885-0515
Mailing address
PO BOX 2032, REDMOND, WA 98073-2032
(425) 885-7004
(425) 885-0515
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
246
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0840100001
DMERC
—
05
—
1394105
—
WA
01
—
38424
LNI
—
01
—
480015164
RR MEDICARE
—
01
—
5486131
AETNA
—
01
—
R35952
REGENCE
—
Enumeration date
09/29/2006
Last updated
03/28/2011
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