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1740248962
MARK D BRUNS
INDIANAPOLIS, IN
NPI
1740248962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IN 01044194A)
Enumeration Date
2006-05-04
Last Update Date
2021-03-11
Business Address
MARK D BRUNS
2625 E 62ND ST STE.2010
INDIANAPOLIS, IN 46220-2965
Phone number: 317-251-6121
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Mailing Address
MARK D BRUNS
250 N SHADELAND AVE STE 130 - PROVIDER ENROLLMENT
INDIANAPOLIS, IN 46219-4959
Phone number:
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