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Contact Information

MICHAEL C BRUNNER, MD
5040 LAKE MENDOTA DR
MADISON, WI53705-1305
 Phone: 773-505-5738
 Fax: 608-263-0682
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for MICHAEL C BRUNNER · (Male)

NPI Number 1124161484
Status Active
Credentials MD
Entity Individual
Enumeration date 02/15/2007
Last updated 01/31/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 60798
Hospital affiliation(s)
  • UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY - (Acute Care)
    600 HIGHLAND AVENUE
    MADISON, WI 53792
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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