Individual
COLLEEN BRUDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5780 HOUGHTEN DR, TROY, MI 48098-2911
(248) 884-5885
Mailing address
5780 HOUGHTEN DR, TROY, MI 48098-2911
(248) 884-5885
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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