Michael David Brunner in Saint Paul - Psychologist
Michael David Brunner - NPI 1093794349
Michael David Brunner is a Psychologist in Saint Paul, Minnesota. Michael David Brunner practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Michael David Brunner is 1093794349. The last update date is 2017-05-12.
Michael David Brunner's current location address is 445 Etna St, Saint Paul, Minnesota. You can contact this provider via phone number 6512544804. The mailing address for Michael David Brunner is 445 Etna St, Saint Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael David Brunner |
|---|---|
| Address | 445 Etna St, Saint Paul, Minnesota |
| Phone Number | 6512544804 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1093794349 |
|---|---|
| Provider Enumeration Date | 2006-01-14 |
| Last Updated Date | 2017-05-12 |
Provider Mailing Address Detail
| Address | 445 Etna St |
|---|---|
| City | Saint Paul |
| State | Minnesota (MN) |
| Post Code | 551065857 |
| Phone Number | 6512544804 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP4417 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 175177800 | MN | -- |
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What is the unique 10-digit identifier code assigned to Michael David Brunner by the Centers for Medicare & Medicaid Services?
The Michael David Brunner has been issued the NPI (National Provider Identifier) 1093794349 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Michael David Brunner located?
The Michael David Brunner is located at 445 Etna St, Saint Paul, MN 551065857.
What is the area of specialization for Michael David Brunner, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michael David Brunner is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1093794349 to Michael David Brunner?
The Centers for Medicare & Medicaid Services assigned the 1093794349 to Michael David Brunner on 2006-01-14.
As of what date were the details related to Michael David Brunner most recently updated or revised?
The information pertaining to Michael David Brunner, including its address, specialty, and other relevant details, was last updated or revised on 2017-05-12.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY