Walter O Bruning MD

NPI 1063419901 - Internal Medicine - 207R00000X

NPI Details
NPI 1063419901
Gender Male
Enumeration Date 07/07/2005
Last Updated 08/22/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
11600 MAIN ST
LOUISVILLE KY, 40243-1318, US
Phone (502) 245-4168
Fax (502) 244-4054
Business Location
PO BOX 950248
LOUISVILLE KY, 40295-0248, US
Phone (502) 238-2801
Fax (502) 238-2835
Taxonomy Code 207R00000X
License State Kentucky
License Number 19421
Remove 1063419901 NPI Number

According to our database, Dr. Walter O Bruning MD NPI is 1063419901, taxonomy code is 207R00000X and license number is 19421, license state is located at Kentucky. Walter O Bruning MD physically located at 11600 Main St, Louisville KY, 40243-1318. NPI Number Walter O Bruning MD has the Individual type.

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1063419901 NPI number is provided on an as is basis without warranty of any kind. 1063419901 is maintained by the National Plan & Provider Enumeration System. The contents of Walter O Bruning MD are for informational purposes only.