Individual
KARLI MICHELE BRUBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6092 FENTON RD, FLINT, MI 48507-4761
(810) 239-4697
Mailing address
3495 S CENTER RD, BURTON, MI 48519-1455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011002
MI
363A00000X
Physician Assistant
—
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/05/2017
Last updated
07/15/2022
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