# BRUNSONS SPECIALTY GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902767932
- **Authorized official:** ANTHONY GARY (OWNER)
- **Authorized official phone:** (313) 646-5180

## Contact information

- **Practice address:** 17200 E 10 MILE RD STE 195, EASTPOINTE, MI 48021-3355
- **Practice address phone:** (586) 859-7255
- **Practice address fax:** (586) 859-7256
- **Mailing address:** 17200 E 10 MILE RD STE 195, EASTPOINTE, MI 48021-3355
- **Mailing address phone:** (586) 859-7255
- **Mailing address fax:** (586) 859-7256

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/19/2025
- **Last updated:** 11/19/2025