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Edmund Bruning
NPI 1801679469 · on the registry since 2023 · sole proprietor
Practice
- Address
- 10630 Town Hall Rd
Mascoutah, IL 62258 - Phone
- (618) 541-0250
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Physician Assistant
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-11-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois