Individual
DR. SCOTT R BRUNDAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2060 EAST PARIS AVENUE SE, SUITE 150, GRAND RAPIDS, MI 49546
(616) 454-1256
(616) 454-0308
Mailing address
2060 EAST PARIS AVENUE SE, SUITE 150, GRAND RAPIDS, MI 49546
(616) 454-1256
(616) 454-0308
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
045016
MI
Other
Enumeration date
12/27/2006
Last updated
02/03/2014
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