Organization
KERSTI M BRUINING MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERSTI BRUINING MD (OWNER)
(231) 935-0386
Entity
Organization
Contact information
Practice address
1213 W FRONT ST, TRAVERSE CITY, MI 49684-2317
(231) 935-0386
(231) 935-0387
Mailing address
1213 W FRONT ST, TRAVERSE CITY, MI 49684-2317
(231) 935-0386
(231) 935-0387
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301062455
MI
Other
Enumeration date
08/19/2006
Last updated
01/11/2011
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