LOGAN BRUNNER

EAU CLAIRE, WI
NPI1588158612
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: WI  3560)
Additional Taxonomies152W00000X Optometrist
(Licence: TN  3454)
Enumeration Date2018-06-21
Last Update Date2022-08-01
Business Address
Dr. LOGAN BRUNNER OD
733 W CLAIREMONT AVE
EAU CLAIRE, WI 54701-6101
Phone number: 715-838-5222
Mailing Address
Dr. LOGAN BRUNNER OD
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 715-838-5222