Individual
JENNIFER LYNN BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46830 BETTYHILL, PLYMOUTH, MI 48170-3009
(734) 658-7490
Mailing address
46830 BETTYHILL, PLYMOUTH, MI 48170-3009
(734) 658-7490
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704196722
MI
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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