DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KELLY BRUESSOW PHARMD

MEDICARE: KELLY BRUESSOW PHARMD
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
1183500000XPharmacist5302041381MI

General Provider Information

NPI Number : 1477007128
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY BRUESSOW PHARMD
Provider Business Mailing Address
First Line : 2980 WILDER RD
Second Line :
City : BAY CITY
State : MI
Zip : 48706-9213
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2980 WILDER RD
Second Line :
City : BAY CITY
State : MI
Zip : 48706-9213
Country : US
Telephone Number : 989-667-9510
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2016
Last Update Date : 08/11/2016

Similar Medicare Providers

1518007079 — MEIJER INC
Practice Location Address:
2980 WILDER RD
BAY CITY, MI
48706-9213
Practice Phone: 989-667-9510
Practice Fax: 989-667-9565
1164832622 — GURBIR DOAD MBA
Practice Location Address:
2980 WILDER RD
BAY CITY, MI
48706-9213
Practice Phone: 989-667-9533
Practice Fax:
1306256920 — PAMELA CLARK
Practice Location Address:
2980 WILDER RD
BAY CITY, MI
48706-9213
Practice Phone: 989-667-9533
Practice Fax: 989-667-9565
1790195006 — TRACI YATES
Practice Location Address:
2980 WILDER RD
BAY CITY, MI
48706-9213
Practice Phone: 989-667-9533
Practice Fax:
1326459462 — DIANNE KAMINSKI
Practice Location Address:
2980 WILDER RD
BAY CITY, MI
48706-9213
Practice Phone: 989-667-9533
Practice Fax:
1104354166 — PAUL EDWARD MCKELLIP PA-C
Practice Location Address:
2980 WILDER RD STE B
BAY CITY, MI
48706-9213
Practice Phone: 989-509-3333
Practice Fax:

Directions to “ KELLY BRUESSOW PHARMD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.