Individual
ANGELA BRUNDAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1376 RUSSELL ST, YPSILANTI, MI 48198-5953
(734) 883-3762
Mailing address
1376 RUSSELL ST, YPSILANTI, MI 48198-5953
(734) 883-3762
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/03/2014
Last updated
02/03/2014
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