Larry R Brunzlick in Medford - Emergency Medical Services
Larry R Brunzlick - NPI 1770646721
Larry R Brunzlick is a Emergency Medical Services in Medford, Wisconsin. Larry R Brunzlick practices all healthcare services and medical treatments related to Emergency Medical Services. The NPI Number for Larry R Brunzlick is 1770646721. The last update date is 2012-05-15.
Larry R Brunzlick's current location address is 135 South Gibson Street, Medford, Wisconsin. You can contact this provider via phone number 7157488100. The mailing address for Larry R Brunzlick is 135 South Gibson Street, Medford, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Larry R Brunzlick |
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Address | 135 South Gibson Street, Medford, Wisconsin |
Phone Number | 7157488100 |
Fax Number | |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1770646721 |
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Provider Enumeration Date | 2006-12-19 |
Last Updated Date | 2012-05-15 |
Provider Mailing Address Detail
Address | 135 South Gibson Street |
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City | Medford |
State | Wisconsin (WI) |
Post Code | 54451 |
Phone Number | 7157488100 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Emergency Medical Services |
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Taxonomy | 207Pe0004X |
Licence No | 24477 |
Definition: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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30461100 | WI | -- |
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What is the unique provider identifier assigned to Larry R Brunzlick?
The Larry R Brunzlick has been issued the NPI (National Provider Identifier) 1770646721 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Larry R Brunzlick is located?
The Larry R Brunzlick is situated at the following address: 135 South Gibson Street, Medford, WI, 54451.
What is Larry R Brunzlick's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Larry R Brunzlick is Emergency Medical Services, and the taxonomy code that classifies this field of practice is 207Pe0004X.
When did the Larry R Brunzlick receive its 1770646721?
The Larry R Brunzlick was issued its 1770646721 on 2006-12-19, which is the date when the organization was assigned this unique identifier.
When was the information regarding Larry R Brunzlick most recently updated?
The details pertaining to the Larry R Brunzlick, including its address, specialty, and other relevant information, were last refreshed on 2012-05-15.
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