Doctor Name: | MRS. MAUREEN ELIZABETH BRUNS |
NPI Number: | 1457397622 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C, RD |
License Number: | 896415 |
Business Practice Address: | 4646 John R St Detroit, MI - 482011916 |
Business Phone Number: | 3135761000 |
Business Fax Number: | |
Mailing Address: | 4646 John R St, DETROIT |
State: | MI |
Postal Code: | 482011916 |
Phone Number: | 3135761000 |
Fax Number: | |
NPI Enumeration Date: | 06/22/2006 |
NPI Last Update Date: | 06/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 896415 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |