IndividualActive
Michael Brunner, MD
NPI 1124161484 · Vascular & Interventional Radiology Physician · Madison, WI
Provider details
- NPI number
- 1124161484
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 60798 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
5040 Lake Mendota Dr
Madison, WI 53705-1305
Phone: (773) 505-5738
Fax: (608) 263-0682
Approximate (ZIP-level) locationGet directions
Mailing address
5040 Lake Mendota Dr
Madison, WI 53705-1305
Registry dates
- Enumerated
- 2007-02-15
- Last updated
- 2023-01-31
- Certified
- 2023-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.