Individual provider · Type 1 NPI
Elizabeth Barrett Brunner, PA
Medical Physician Assistant · Detroit, MI
NPI number
1164725271
Active
Practice location
6071 W Outer Dr
Detroit, MI 48235-2624
Mailing address
1102 Midland Blvd
Royal Oak, MI 48073-2889
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 5601005847 (MI) |
Medical Physician Assistant: Definition to come...
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About NPI 1164725271
Elizabeth Barrett Brunner, PA's National Provider Identifier is 1164725271, issued on Dec 10, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Detroit, MI. The record was last updated on Dec 10, 2010.