MEDICARE: AMELIA BRUNI

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	363AM0700X	Medical Physician Assistant

General Provider Information

NPI Number	:	1639905136
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMELIA BRUNI

Provider Business Mailing Address
First Line	:	4800 S SAGINAW ST
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48507-2677
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4800 S SAGINAW ST
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48507-2677
Country	:	US
Telephone Number	:	810-732-8336
Fax Number	:

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

Provider Enumeration Date	:	09/11/2024
Last Update Date	:	12/22/2025

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Directions to “ AMELIA BRUNI ” Practice Location

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