Kristanza Marie Bronnenberg, OD

NPI #1801437140 in Cody, Wyoming

Provider Information

NPI Number: 1801437140
Entity Type: Individual
Name: Kristanza Marie Bronnenberg, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Oct 7, 2019
Last Updated: Dec 18, 2020

Practice Location

Address: 620 19TH ST
City: Cody
State: Wyoming
ZIP Code: 82414-3305
Phone: (307) 587-4206

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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