Female

Mrs. Chisom O. Bruns PA-C

Physician Assistant in Spring Valley, MN(View on Map)

Full Name

Mrs. Chisom O Bruns PA-C

NPI Number

1073092391

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/08/2018

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

12738

Contact
Information

Purpose

Mailing
Location

Address

2110 FALCON TER NW
802 MEMORIAL DR

City

Stewartville
Spring Valley

State

MN
MN

Postal Code

55976-1052
55975-1024

Country

US
US

Telephone Number

(732) 439-2948
(507) 288-3443

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/08/2018

Provider Address

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