Healthcare Provider Details

I. General information

NPI: 1689515629
Provider Name (Legal Business Name): BARBARA A. BRUNO MA, DTLLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 WEISS ST
SAGINAW MI
48602-5251
US

IV. Provider business mailing address

3080 SEYMOUR LAKE RD
OXFORD MI
48371-4247
US

V. Phone/Fax

Practice location:
  • Phone: 989-497-2500
  • Fax:
Mailing address:
  • Phone: 248-800-6345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number6352000772
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: