Edmund Bruning

NPI #1801679469 in Mascoutah, Illinois

Provider Information

NPI Number: 1801679469
Entity Type: Individual
Name: Edmund Bruning
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Aug 17, 2023
Last Updated: Nov 28, 2023

Practice Location

Address: 10630 TOWN HALL RD
City: Mascoutah
State: Illinois
ZIP Code: 62258-3942
Phone: (618) 541-0250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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