NPI 1306965983

Audrey Bruell, M.D. P.C.

Organisation Dermatology Physician Livonia, MI

Practice location

Address: 37605 Pembroke Ave James James Towne, Livonia, MI 48152-1050
Phone: (734) 591-7931
Fax: (734) 464-0335
Mailing address: 37605 Pembroke James James Towne, Livonia, MI 48152-1050

Authorised official

Name: Kathy Mayer
Title: Billing Supervisor
Phone: (989) 666-4775

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 4301062941 (MI)

Other Dermatology providers in Michigan →

Registry record

NPI: 1306965983
Entity type: Organization
NPI issued: 28 Mar 2007
Record last updated: 9 Apr 2010

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.