Individual
JAMES C. BRUESTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202
(313) 916-9106
(313) 916-1249
Mailing address
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202
(313) 916-9106
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
4301044651
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JB044651
CHAMPUS-CHAMPUS
—
Enumeration date
11/17/2006
Last updated
07/08/2007
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