Individual
KOLTON BRUSVEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1700 CLINTON ST, SUITE 315, MUSKEGON, MI 49442-5502
(231) 727-5244
Mailing address
1700 CLINTON ST, SUITE 315, MUSKEGON, MI 49442-5502
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101022704
MI
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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