Whalio Doctors

NPI 1245337179

Audrey J Bruell Dermatology

Organisation Non-Pharmacy Dispensing Site Livonia, MI

Practice location

Address
37605 Pembroke Ave, Livonia, MI 48152-1050
Phone
(734) 591-7931
Fax
(734) 464-0335

Authorised official

Name
David Durin
Title
Office Manager
Phone
(517) 505-0661

Registered specialties

Non-Pharmacy Dispensing Site Primary
Suppliers Taxonomy 332900000X Licence 4301062941 (MI)

Registry record

NPI
1245337179
Entity type
Organization
NPI issued
20 Sep 2006
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.