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Larry R Brunzlick, MD
Emergency Medical Services (Emergency Medicine) Physician in Medford, Wisconsin
NPI 1770646721

Larry R Brunzlick is a Emergency Medical Services (Emergency Medicine) Physician based in Medford, WI and is specialized in Emergency Medical Services. Larry R Brunzlick practices in Medford, WI and has the professional credentials of MD. The NPI Number for Larry R Brunzlick is 1770646721 and holds a License No. 24477 (Wisconsin).

The current practice location address for Larry R Brunzlick is 135 South Gibson Street, Medford, WI and can be reached out via phone at 715-748-8100 and via fax at 715-748-7590.

Location: 135 South Gibson Street, Medford, WI, 54451
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770646721
Provider Name
Larry R Brunzlick
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
135 South Gibson Street, Medford, WI, 54451
Phone Number
715-748-8100
Fax Number
715-748-7590
Provider Enumeration Date
12/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30461100 05 WI
institution
Provider Business Practice Location Address Details
Address
135 South Gibson Street
City
Medford
State
Wisconsin
Zip
54451
Phone Number
715-748-8100
Fax Number
715-748-7590
person
Provider Business Mailing Address Details
Address
135 South Gibson Street
City
Medford
State
Wisconsin
Zip
54451
Phone Number
715-748-8100
Fax Number
715-748-7590
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
24477 (Wisconsin)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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