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Individual

ERIC LEE BRUNNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
3056 S KINNICKINNIC AVE, MILWAUKEE, WI 53207-2583
(414) 326-2660
(414) 769-4935
Mailing address
1688 N FRANKLIN PL, MILWAUKEE, WI 53202-2202
(507) 358-0748

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4260-19
WI

Other

Enumeration date
07/07/2025
Last updated
07/07/2025
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