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1760060800
MICHAEL ROBERT BRUNNER
MEMPHIS, TN
NPI
1760060800
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-30
Last Update Date
2022-05-28
Business Address
MICHAEL ROBERT BRUNNER MD
6019 WALNUT GROVE RD
MEMPHIS, TN 38120-2113
Phone number: 901-226-3001
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Mailing Address
MICHAEL ROBERT BRUNNER MD
8070 ELLIS RD
BARTLETT, TN 38133-2806
Phone number: 810-305-2825
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