Individual
NICHOLAS VANBRUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1040 W BRISTOL RD, FLINT, MI 48507-5516
(810) 429-2515
Mailing address
1040 W BRISTOL RD, FLINT, MI 48507-5516
(810) 429-2515
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043554348
EMPLOYMENT
MI
Enumeration date
09/02/2022
Last updated
10/23/2024
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