Audrey J Bruell Md

LBN: Audrey J Bruell Dermatology
Audrey J Bruell Md is an health care organization with primary practice located at 37605 Pembroke Ave , Livonia MI 48152-1050. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Audrey J Bruell Dermatology can be contacted via phone (734) 591-7931, or through Durin, David via phone (517) 505-0661.

Contact Information

Primary practice address
37605 Pembroke Ave Livonia MI 48152-1050
Phone: (734) 591-7931
Fax: (734) 464-0335
Website:
Map and Directions
Authorized official contact:
Name: Durin, David
Phone: (517) 505-0661

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X 4301062941 Michigan

Profile Details

NPI number 1245337179
LBN Legal business name Audrey J Bruell Dermatology
DBA Doing business as Audrey J Bruell Md
Authorized official Durin, David
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245337179 NPPES
Other 2368769 OTHER ID NUMBER-COMMERCIAL NUMBER

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