Individual
DR. JUDYTH A. BRUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D. C.
Contact information
Practice address
20312 STATE HIGHWAY M28 STE A, EWEN, MI 49925-8001
(488) 988-2080
(906) 988-2080
Mailing address
9381 LOOP RD, TROUT CREEK, MI 49967-9393
(906) 852-3290
(906) 852-3290
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005866
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4176209
—
MI
01
—
950F650020
BCBSM
MI
01
—
P00149612
RAILROAD MEDICARE
MI
Enumeration date
10/16/2006
Last updated
08/16/2023
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