Individual
DR. MATTHEW J BRUZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
201 N RIVERSIDE AVE UNIT C3C4, SAINT CLAIR, MI 48079-5491
(810) 328-5225
(810) 740-7020
Mailing address
201 N RIVERSIDE AVE UNIT C3C4, SAINT CLAIR, MI 48079-5491
(810) 328-5225
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020605
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901020605
STATE LICENSE NUMBER
MI
Enumeration date
02/14/2007
Last updated
02/15/2021
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