Organization
DISTRICT HEALTH DEPARTMENT NO. 4
Active
Other names
Immunizations
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D BRUNING RS MBA (ADMINISTRATIVE HEALTH OFFICER)
(989) 356-4507
Entity
Organization
Contact information
Practice address
100 WOODS CIR, SUITE 200, ALPENA, MI 49707-1444
(989) 356-4507
(989) 356-3529
Mailing address
100 WOODS CIR, SUITE 200, ALPENA, MI 49707-1444
(989) 356-4507
(989) 356-3529
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4357429
—
MI
05
—
4357438
—
MI
05
—
4357447
—
MI
05
—
4357465
—
MI
Enumeration date
04/27/2007
Last updated
08/22/2020
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