Individual
NICHOLAS GARBER BRUNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
8805 PINE RIDGE DR, CADILLAC, MI 49601-7064
(231) 779-3668
(734) 655-2911
Mailing address
8805 PINE RIDGE DR, CADILLAC, MI 49601-7064
(231) 779-3668
(734) 655-2911
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5951001100
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2018
Last updated
06/04/2021
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