Individual
CRISTA BROUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
36123 SCHOOLCRAFT RD, LIVONIA, MI 48150-1216
(734) 464-0887
(734) 402-0254
Mailing address
36123 SCHOOLCRAFT RD, LIVONIA, MI 48150-1216
(734) 464-0887
(734) 402-0254
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101015704
MI
208M00000X
Hospitalist Physician
5101015704
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265537625
NPI #
MI
05
—
4955211-11
—
MI
01
—
70-0-F32947-0
BCBS CPIN #
MI
01
—
CB015704
BCBS
MI
Enumeration date
09/13/2006
Last updated
04/14/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us