Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARRY R BRUNZLICK, MD
ActiveLARRY R BRUNZLICK, MD is a Emergency Medical Services healthcare provider located in MEDFORD, Wisconsin. NPI 1770646721 is currently active in the NPPES registry. Verify at CMS.
Emergency Medical Services · MEDFORD, WI
Registration Details
- NPI Number
- 1770646721
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 19, 2006 (19.676345726018 yrs)
- Last Updated
- May 15, 2012
- License
-
24477 (WI)
Practice Information
- Address
-
135 SOUTH GIBSON STREETMEDFORD, WI, 54451Browse WI providers · Browse ZIP 54451
- Phone
- 7157488100
- Fax
- 7157487590
- Primary Specialty
-
Emergency Medical Services
207PE0004X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.