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Robert L Brunk II DO PC

Clinic/Center, Medical Specialty in Valparaiso, IN. Organization (NPI-2).

NPI number1790966331
StatusActive
Last updated in NPPESSep 4, 2014

Details

NPI
1790966331
Entity type
Organization (NPI-2)
Legal business name
Robert L Brunk II DO PC
Organization subpart
No
Enumeration date
Nov 26, 2007
Last updated
Sep 4, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM2500X Clinic/Center, Medical Specialty02001839aINYes

Practice location

505 Robinhood Ct
Valparaiso, IN 46385-8021

Phone 219-465-4118 · Fax 219-548-3067

Mailing address

505 Robinhood Ct
Valparaiso, IN 46385-8021

Phone 219-465-4118 · Fax 219-548-3067

Authorized official

Robert L Brunk
Owner
2194654118

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