Organization
AUDREY BRUELL, M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY MAYER CPC (BILLING SUPERVISOR)
(989) 666-4775
Entity
Organization
Contact information
Practice address
37605 PEMBROKE AVE, JAMES JAMES TOWNE, LIVONIA, MI 48152-1050
(734) 591-7931
(734) 464-0335
Mailing address
37605 PEMBROKE, JAMES JAMES TOWNE, LIVONIA, MI 48152-1050
(734) 591-7931
(734) 464-0335
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301062941
MI
Other
Enumeration date
03/28/2007
Last updated
04/09/2010
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