Michael D. Brunner PHD
Psychologist in Saint Paul, MN(View on Map)
Full Name
Michael David Brunner PHD
NPI Number
1093794349
NPI Type
Individual Provider
Gender
Male
Enumeration Date
01/14/2006
Specialties
(Taxonomies)Licenses
State
Minnesota
License Number
LP4417
Contact
Information
Purpose
Mailing
Location
Address
445 ETNA ST
445 ETNA ST
City
Saint Paul
Saint Paul
State
MN
MN
Postal Code
55106-5857
55106-5857
Country
US
US
Telephone Number
(651) 254-4804
(651) 254-4804
Identifiers
Identifier
175177800
Identifier State
MN
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/12/2017