Kersti M Bruining Md Pllc in Traverse City - Specialist
Kersti M Bruining Md Pllc - NPI 1588778088
Kersti M Bruining Md Pllc is a Specialist in Traverse City, Michigan. Kersti M Bruining Md Pllc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kersti M Bruining Md Pllc is 1588778088. The last update date is 2011-01-11.
Kersti M Bruining Md Pllc's current location address is 1213 W Front St, Traverse City, Michigan. You can contact this provider via phone number 2319350386 and fax number 2319350387. The mailing address for Kersti M Bruining Md Pllc is 1213 W Front St, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Kersti M Bruining Md Pllc |
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Address | 1213 W Front St, Traverse City, Michigan |
Phone Number | 2319350386 |
Fax Number | 2319350387 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Bruining Kersti |
Credentials | MD |
Telephone Number | 2319350386 |
NPI Number Detail
NPI Number | 1588778088 |
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Provider Enumeration Date | 2006-08-19 |
Last Updated Date | 2011-01-11 |
Provider Mailing Address Detail
Address | 1213 W Front St |
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City | Traverse City |
State | Michigan (MI) |
Post Code | 496842317 |
Phone Number | 2319350386 |
Fax Number | 2319350387 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 4301062455 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the Kersti M Bruining Md Pllc's unique identification number?
The Kersti M Bruining Md Pllc has been assigned the NPI (National Provider Identifier) Number 1588778088 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Kersti M Bruining Md Pllc's physical address?
The Kersti M Bruining Md Pllc is physically located at 1213 W Front St, in the city of Traverse City, MI, with the postal code 496842317.
What is the Kersti M Bruining Md Pllc's specialty and taxonomy code?
The Kersti M Bruining Md Pllc's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1588778088 to Kersti M Bruining Md Pllc?
The Centers for Medicare & Medicaid Services assigned the 1588778088 to Kersti M Bruining Md Pllc on 2006-08-19.
As of what date was the information regarding Kersti M Bruining Md Pllc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kersti M Bruining Md Pllc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-01-11.