Individual
THOMAS GLENN BRUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
20312 STATE HIGHWAY M28, SUITE A, EWEN, MI 49925-9082
(906) 988-2080
(906) 988-2080
Mailing address
9381 LOOP RD, TROUT CREEK, MI 49967-9393
(906) 988-2080
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005867
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950F650030
BCBSM
MI
01
—
P00126212
RAILROAD MEDICARE
MI
Enumeration date
09/05/2006
Last updated
06/06/2016
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