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Jeanine L Brunclik, M.D.

Family Medicine in Saint Croix Falls, WI. Individual provider (NPI-1).

NPI number1689758237
StatusActive
Last updated in NPPESDec 31, 2020

Details

NPI
1689758237
Entity type
Individual (NPI-1)
Name
Jeanine L Brunclik
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Oct 24, 2006
Certification date
Dec 31, 2020
Last updated
Dec 31, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine49004WIYes

Practice location

235 State St
Saint Croix Falls, WI 54024-4117

Phone 715-483-3221 · Fax 715-483-0507

Mailing address

235 State St
Saint Croix Falls, WI 54024-4117

Phone 715-483-3221 · Fax 715-483-0507

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