Provider Demographics
NPI:1447274725
Name:BRINZEIU, CARA ELIZA (MD)
Entity type:Individual
Prefix:DR
First Name:CARA
Middle Name:ELIZA
Last Name:BRINZEIU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CARA
Other - Middle Name:ELIZA
Other - Last Name:WALLACE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:527 COBB ST
Mailing Address - Street 2:CADILLAC
Mailing Address - City:CADILLAC
Mailing Address - State:MI
Mailing Address - Zip Code:49601-2540
Mailing Address - Country:US
Mailing Address - Phone:231-775-3463
Mailing Address - Fax:
Practice Address - Street 1:527 COBBS ST
Practice Address - Street 2:CADILLAC
Practice Address - City:CADILLAC
Practice Address - State:MI
Practice Address - Zip Code:49601-2540
Practice Address - Country:US
Practice Address - Phone:231-775-3463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010760092084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry