Individual
JILL K BRUNSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
302 W PINE ST STE 2, EAGLE RIVER, WI 54521-9349
(715) 891-0088
Mailing address
302 W PINE ST STE 2, EAGLE RIVER, WI 54521-9349
(715) 891-0088
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001000611
NC
363A00000X
Physician Assistant
Primary
2234
WI
Other
Enumeration date
04/19/2006
Last updated
04/10/2024
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