| Doctor Name: | DR. EVE M BRUSIE |
| NPI Number: | 1134486657 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | |
| Business Practice Address: | 401 W Greenlawn Ave Lansing, MI - 489102819 |
| Business Phone Number: | 6165663163 |
| Business Fax Number: | |
| Mailing Address: | 472 Anhinga Dr, EAST LANSING |
| State: | MI |
| Postal Code: | 488238662 |
| Phone Number: | 6165663163 |
| Fax Number: | |
| NPI Enumeration Date: | 04/20/2012 |
| NPI Last Update Date: | 04/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |