Search › Michigan › 207L00000X
Ryan Brunner, M.D
NPI 1841636065 · on the registry since 2013
Practice
- Address
- 22101 Moross Rd
Detroit, MI 48236 - Phone
- (313) 343-4000
- Organisation at this address
- Largo Glm Pllc
Berg Vascular Pc
St John Hospital
St. John Hospital
St. John HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 504
Additional practice sites
- 1000 Harrington St, Mount Clemens, MI
- 22401 Foster Winter Dr, Southfield, MI
- 11012 E 13 Mile Rd, Warren, MI
- 43475 Dalcoma Dr Ste 100, Clinton Twp, MI
Registry record
- Primary taxonomy
- 207L00000X
207L00000X
- Also registered as
- 207L00000X
- Licence states on file
- IL, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-02-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan