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Nickolaus Brunker
NPI 1912473109 · on the registry since 2018
Practice
- Address
- 2021 Mather Way Apt B
Elkins Park, PA 19027 - Phone
- (208) 720-6809
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 390200000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-21
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 Pennsylvania