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NPI Code Detail

MEDICARE: MR. ZACHARY BRUNS M.S.

MEDICARE: MR. ZACHARY BRUNS M.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor1776 - 226WI

General Provider Information

NPI Number : 1689015810
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ZACHARY BRUNS M.S.
Provider Business Mailing Address
First Line : 220 W CAPITOL DR
Second Line :
City : MILWAUKEE
State : WI
Zip : 53212-1185
Country : US
Telephone Number : 414-727-6320
Fax Number :
Provider Business Practice Location Address
First Line : 220 W CAPITOL DR
Second Line :
City : MILWAUKEE
State : WI
Zip : 53212-1185
Country : US
Telephone Number : 414-727-6320
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2013
Last Update Date : 05/01/2024

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