Individual provider · Type 1 NPI

Katherine Wood Bruckner, MD

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1336933159 Active

Practice location

22151 Moross Rd Ste 214
Detroit, MI 48236-2151

Call (313) 343-4867 Map

Fax (313) 343-3280

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1336933159

Katherine Wood Bruckner, MD's National Provider Identifier is 1336933159, issued on Apr 7, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Apr 7, 2025.