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Contact Information

DONNA M BRUNELLO, OD
2305 30TH AVE
KENOSHA, WI53144-1411
 Phone: 262-597-2020
 Fax: 262-597-5452
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for DONNA M BRUNELLO · (Female)

NPI Number 1821021445
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/08/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # WI2287
  • WI Medicaid 38594600
Hospital affiliation(s) Not Available
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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