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Individual

DR. MICHAEL ROSS BRUMAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MPH, FACP

Contact information

Practice address
107 KOONTZ AVE, CLENDENIN, WV 25045-9578
(304) 548-7272
(304) 548-7149
Mailing address
104 ALEX LN, CHARLESTON, WV 25304-2952
(304) 734-2040
(304) 734-2047

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26602
WV
207R00000X
Internal Medicine Physician
MD10162
HI
2083P0901X
Public Health & General Preventive Medicine Physician
26602
WV
2083P0901X
Public Health & General Preventive Medicine Physician
MD10162
HI

Other

Enumeration date
10/24/2005
Last updated
05/21/2020
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