Jill K Brunstad in Eagle River - Physician Assistant

Jill K Brunstad - NPI 1902861131

Jill K Brunstad is a Physician Assistant in Eagle River, Wisconsin. Jill K Brunstad practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jill K Brunstad is 1902861131. The last update date is 2023-10-18.

Jill K Brunstad's current location address is 302 W Pine St Ste 2, Eagle River, Wisconsin. You can contact this provider via phone number 7158910088. The mailing address for Jill K Brunstad is 302 W Pine St Ste 2, Eagle River, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Jill K Brunstad
Address 302 W Pine St Ste 2, Eagle River, Wisconsin
Phone Number 7158910088
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1902861131
Provider Enumeration Date 2006-04-19
Last Updated Date 2023-10-18

Provider Mailing Address Detail

Address 302 W Pine St Ste 2
City Eagle River
State Wisconsin (WI)
Post Code 545219349
Phone Number 7158910088
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 1000611
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Jill K Brunstad

What is the unique 10-digit identification code assigned to Jill K Brunstad by the Centers for Medicare & Medicaid Services?

The Jill K Brunstad has been issued the NPI (National Provider Identifier) 1902861131, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Jill K Brunstad is geographically located?

The Jill K Brunstad is physically situated at the following location: 302 W Pine St Ste 2, Eagle River, WI, 545219349.

What is the area of specialization for Jill K Brunstad, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jill K Brunstad is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1902861131 to Jill K Brunstad?

The Centers for Medicare & Medicaid Services originally issued the 1902861131 to Jill K Brunstad on 2006-04-19.

When was the information regarding Jill K Brunstad most recently updated?

The details pertaining to the Jill K Brunstad, including its address, specialty, and other relevant information, were last refreshed on 2023-10-18.

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