Individual
DR. JASON E. BRUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
13087 E 11 MILE RD, WARREN, MI 48088-4795
(586) 393-5041
(585) 510-4105
Mailing address
1500 WEISS ST, SAGINAW, MI 48602-5251
(989) 497-2500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101013443
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JB013443
BCBSM
MI
Enumeration date
06/02/2005
Last updated
06/20/2019
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