Individual
MATTHEW JAMES BRUNELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5301 E HURON RIVER DR, YPSILANTI, MI 48197-1051
(734) 712-3456
Mailing address
150 BURWYCK PARK DR, SALINE, MI 48176-8742
(419) 291-4491
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
019772
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
4704266794
MI
367500000X
Certified Registered Nurse Anesthetist
APRN.CRNA.019772
OH
Other
Enumeration date
10/22/2018
Last updated
11/25/2025
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