Individual
MR. THOMAS BRENT PUZZUOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2335
(734) 769-7100
(734) 769-7099
Mailing address
6651 HAMBURG RD, BRIGHTON, MI 48116-5102
(810) 229-6306
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601002190
MI
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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