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Individual

DR. KERSTI BRUINING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-7514
(231) 392-0039
Mailing address
3537 W FRONT ST STE A, TRAVERSE CITY, MI 49684-7942
(231) 935-9700
(231) 935-9706

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
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