Brummund, Walter
Brummund, Walter is an individual health care provider with primary practice located at 2500 N Mayfair Rd Suite 220, Wauwatosa WI 53226-1409. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology. Allopathic & Osteopathic Physicians / Allergy is his primary health care specialty. Brummund, Walter can be contacted via phone (414) 475-9101.Contact Information
Primary practice address
2500 N Mayfair Rd Suite 220
Wauwatosa WI 53226-1409
Phone: (414) 475-9101
Fax: (414) 475-9203
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | Wisconsin | |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology | 207KI0005X | Wisconsin |
Profile Details
| NPI number | 1487708988 |
|---|---|
| LBN Legal business name | Brummund, Walter |
| Credentials | M.D.,PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487708988 | NPPES |
| Wisconsin | MEDICAID | 30667400 |
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