Provider Demographics
NPI:1720056070
Name:BRUNI, CHRISTINE (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:BRUNI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TRAUBENWEG 8
Mailing Address - Street 2:
Mailing Address - City:HIRSCHBERG
Mailing Address - State:BADEN-WUERTTEMBERG
Mailing Address - Zip Code:69493
Mailing Address - Country:DE
Mailing Address - Phone:01149620-195-9176
Mailing Address - Fax:01149620-195-9178
Practice Address - Street 1:TRAUBENWEG 8
Practice Address - Street 2:
Practice Address - City:HIRSCHBERG
Practice Address - State:BADEN-WUERTTEMBERG
Practice Address - Zip Code:69493
Practice Address - Country:DE
Practice Address - Phone:01149620-195-9176
Practice Address - Fax:01149620-195-9178
Is Sole Proprietor?:No
Enumeration Date:2006-03-11
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101043948208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice