Individual
MAUREEN E BRINGHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-5000
Mailing address
750 STEPHENSON HWY, BEAUMONT PAYOR CONTRACT SERVICES, TROY, MI 48083-1103
(248) 577-3523
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006618
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962743278
—
MI
Enumeration date
03/12/2013
Last updated
11/11/2016
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