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Audrey J Bruell Dermatology
Non-Pharmacy Dispensing Site in Livonia, Michigan
NPI 1245337179

Audrey J Bruell Dermatology is a Non-Pharmacy Dispensing Site based in Livonia, MI. Audrey J Bruell Dermatology practices in Livonia, MI. The NPI Number for Audrey J Bruell Dermatology is 1245337179 and holds a License No. 4301062941 (Michigan).

The current practice location address for Audrey J Bruell Dermatology is 37605 Pembroke Ave, Livonia, MI and can be reached out via phone at 734-591-7931 and via fax at 734-464-0335. You can also correspond with Audrey J Bruell Dermatology through the mailing address at 37605 PEMBROKE AVE, LIVONIA, MI - 48152-1050 (mailing address contact number: ).

Location: 37605 Pembroke Ave, Livonia, MI, 48152-1050
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245337179
Provider Name
Audrey J Bruell Dermatology
Credential
Provider Entity Type
Organization
Address
37605 Pembroke Ave, Livonia, MI, 48152-1050
Phone Number
734-591-7931
Fax Number
734-464-0335
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2368769 01 OTHER ID NUMBER-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
37605 Pembroke Ave
City
Livonia
State
Michigan
Zip
48152-1050
Phone Number
734-591-7931
Fax Number
734-464-0335
person
Provider Business Mailing Address Details
Address
37605 Pembroke Ave
City
Livonia
State
Michigan
Zip
48152-1050
Phone Number
734-591-7931
Fax Number
734-464-0335
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
4301062941 (Michigan)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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