Provider Demographics
NPI:1609945385
Name:BRUENING, WILLIAM MICHAEL (BS, DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:MICHAEL
Last Name:BRUENING
Suffix:
Gender:M
Credentials:BS, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10102 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68134-5555
Mailing Address - Country:US
Mailing Address - Phone:402-571-3010
Mailing Address - Fax:402-571-2987
Practice Address - Street 1:10102 MAPLE ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68134-5555
Practice Address - Country:US
Practice Address - Phone:402-571-3010
Practice Address - Fax:402-571-2987
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE862111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor