Individual
DR. KERSTI BRUINING
Active
Individual
DR. KERSTI BRUINING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4301062455
MI
2084N0400X
Neurology Physician
Primary
4301062455
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0281047
BCBS NUMBER
MI
01
—
4301062455
STATE LICENSE NUMBER
MI
05
—
4618392
—
MI
Enumeration date
05/24/2005
Last updated
02/10/2026
Update your record
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