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Contact Information

AUDREY BRUELL, M.D. P.C.
37605 PEMBROKE AVE
JAMES JAMES TOWNE
LIVONIA, MI48152-1050
 Phone: 734-591-7931
 Fax: 734-464-0335
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for AUDREY BRUELL, M.D. P.C.

NPI Number 1306965983
LBN Legal business name AUDREY BRUELL, M.D. P.C.
Authorized official KATHY MAYER - (BILLING SUPERVISOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/28/2007
Last updated 04/09/2010 - About 16 years ago
Identifiers
MI License # 4301062941
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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