Organization
ALEDA E LUTZ VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON EDWARD BRUNT D.O. (PRESIDENT)
(248) 840-8098
Entity
Organization
Contact information
Practice address
1500 WEISS ST, SAGINAW, MI 48602-5251
(989) 497-2500
Mailing address
1500 WEISS ST, SAGINAW, MI 48602-5251
(989) 497-2500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101013443
MI
Other
Enumeration date
04/06/2007
Last updated
11/13/2014
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