Individual
DR. MARK A BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2064 BALDWIN ST STE A, JENISON, MI 49428-8773
(616) 264-3815
(404) 352-9381
Mailing address
2064 BALDWIN ST STE A, JENISON, MI 49428-8773
(404) 352-3123
(404) 352-9381
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12499
GA
Other
Enumeration date
07/18/2006
Last updated
03/14/2025
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