Individual
JESSALYN BRUGNONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 916-1533
Mailing address
355 MOSELLE PL, GROSSE POINTE FARMS, MI 48236-3307
(815) 260-5854
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101026304
MI
Other
Enumeration date
03/28/2018
Last updated
07/12/2023
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