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Individual

DR. RYAN TODD BRUNWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
504 E COLBY ST, WHITEHALL, MI 49461-1165
(231) 894-8814
(231) 893-6505
Mailing address
504 E COLBY ST, WHITEHALL, MI 49461-1165
(231) 894-8814
(231) 893-6505

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
19078
MI
1223G0001X
General Practice Dentistry
Primary
2901019078
MI

Other

Enumeration date
08/30/2006
Last updated
04/23/2019
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