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Individual

MRS. MAUREEN ELIZABETH BRUNS

Active
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Individual

MRS. MAUREEN ELIZABETH BRUNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, PA-C

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
896415
MI
363AM0700X
Medical Physician Assistant
Primary
5601004683
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1457397622
MI
Enumeration date
06/22/2006
Last updated
06/14/2024
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