Larry R Brunzlick, MD | |
135 South Gibson Street, Medford, WI 54451 | |
(715) 748-8100 | |
(715) 748-7590 |
Full Name | Larry R Brunzlick |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 43 Years |
Location | 135 South Gibson Street, Medford, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770646721 | NPI | - | NPPES |
30461100 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | 24477 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Langlade Hospital | Antigo, WI | Hospital |
Ascension Our Lady Of Victory Hospital | Stanley, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin | 1557271202 | 45 |
Entity Name | Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831251040 PECOS PAC ID: 1557271202 Enrollment ID: O20040212000310 |
Entity Name | Aspirus Stanley Hospital & Clinics Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053391730 PECOS PAC ID: 8325957095 Enrollment ID: O20140321001620 |
Mailing Address | Practice Location Address |
---|---|
Larry R Brunzlick, MD 135 South Gibson Street, Medford, WI 54451 Ph: (715) 748-8100 | Larry R Brunzlick, MD 135 South Gibson Street, Medford, WI 54451 Ph: (715) 748-8100 |
Steven Fredrick Hansen, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 135 South Gibson, Medford, WI 54451 Phone: 715-748-8100 Fax: 715-748-7590 | |
Ronald L Kowle, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 143 S Gibson St, Medford, WI 54451 Phone: 715-748-2121 |