MEDICARE: DR. CHRISTOPHE BRUNDAGE DEAN DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2301002756	MI

General Provider Information

NPI Number	:	1225029382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHE BRUNDAGE DEAN DC

Provider Business Mailing Address
First Line	:	2881 PALMERSTON DR
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48084-1024
Country	:	US
Telephone Number	:	248-540-2133
Fax Number	:	248-543-2628

Provider Business Practice Location Address
First Line	:	36800 WOODWARD AVE STE 210
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48304-0917
Country	:	US
Telephone Number	:	248-543-3566
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2005
Last Update Date	:	05/19/2023

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