Brunner, Michael C
Brunner, Michael C is an individual health care provider with primary practice located at 5040 Lake Mendota Dr , Madison WI 53705-1305. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Brunner, Michael C can be contacted via phone (773) 505-5738.Contact Information
Primary practice address
5040 Lake Mendota Dr
Madison WI 53705-1305
Phone: (773) 505-5738
Fax: (608) 263-0682
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 60798 | Wisconsin |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 60798 | Wisconsin |
Profile Details
| NPI number | 1124161484 |
|---|---|
| LBN Legal business name | Brunner, Michael C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Jan 31st, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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