Individual
MICHAEL BRUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 S GREENE ST # S11C, BALTIMORE, MD 21201-1544
(763) 350-2254
Mailing address
22 S GREENE ST # S11C, BALTIMORE, MD 21201-1544
(410) 328-1239
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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