Audrey J Bruell Dermatology in Livonia - Non-pharmacy Dispensing Site
Audrey J Bruell Dermatology - NPI 1245337179
Audrey J Bruell Dermatology is a Non-pharmacy Dispensing Site in Livonia, Michigan. Audrey J Bruell Dermatology practices all healthcare services and medical treatments related to Non-pharmacy Dispensing Site. The NPI Number for Audrey J Bruell Dermatology is 1245337179. The last update date is 2020-08-22.
Audrey J Bruell Dermatology's current location address is 37605 Pembroke Ave, Livonia, Michigan. You can contact this provider via phone number 7345917931 and fax number 7344640335. The mailing address for Audrey J Bruell Dermatology is 37605 Pembroke Ave, Livonia, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Audrey J Bruell Dermatology |
|---|---|
| Address | 37605 Pembroke Ave, Livonia, Michigan |
| Phone Number | 7345917931 |
| Fax Number | 7344640335 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Durin David |
| Telephone Number | 5175050661 |
NPI Number Detail
| NPI Number | 1245337179 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 37605 Pembroke Ave |
|---|---|
| City | Livonia |
| State | Michigan (MI) |
| Post Code | 481521050 |
| Phone Number | 7345917931 |
| Fax Number | 7344640335 |
Provider's Primary Taxonomy Detail
| Speciality | Non-pharmacy Dispensing Site |
|---|---|
| Taxonomy | 332900000X |
| Licence No | 4301062941 |
|
Definition: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2368769 | OTHER ID NUMBER-COMMERCIAL NUM |
Post Comment/ Review Below
What is the unique identifier code issued to Audrey J Bruell Dermatology by the Centers for Medicare & Medicaid Services?
The Audrey J Bruell Dermatology has been assigned the NPI (National Provider Identifier) 1245337179. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Audrey J Bruell Dermatology's physical address?
The Audrey J Bruell Dermatology is physically located at 37605 Pembroke Ave, in the city of Livonia, MI, with the postal code 481521050.
What is Audrey J Bruell Dermatology's specialized field of practice, and what is the corresponding taxonomy classification code?
The Audrey J Bruell Dermatology's area of specialization is Non-pharmacy Dispensing Site, and the corresponding taxonomy code that categorizes this field of practice is 332900000X.
When was the Audrey J Bruell Dermatology's 1245337179 issued?
The Audrey J Bruell Dermatology's 1245337179 was issued on 2006-09-20.
As of what date were the Audrey J Bruell Dermatology's details last updated?
The information pertaining to the Audrey J Bruell Dermatology, including its address, specialty, and other details, was most recently updated on 2020-08-22.
NPI Number: 1912900614
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