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Individual

DR. RYAN THOMAS BRUNNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-4000
Mailing address
CARDIOVASCULAR CENTER, RM. 4172, 1500 E. MEDICAL CENTER DRIVE, SPC 5861, ANN ARBOR, MI 48109

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125-063218
IL
207L00000X
Anesthesiology Physician
Primary
4301112829
MI

Other

Enumeration date
05/14/2013
Last updated
02/07/2025
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