Everett V Bryant MD PLLC
Family Medicine in Dearborn, MI. Organization (NPI-2).
NPI number1306992201
StatusActive
Last updated in NPPESNov 6, 2014
Details
- NPI
- 1306992201
- Entity type
- Organization (NPI-2)
- Legal business name
- Everett V Bryant MD PLLC
- Organization subpart
- No
- Enumeration date
- Jan 25, 2007
- Last updated
- Nov 6, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | eb060301 | MI | Yes |
Practice location
6 Parklane Blvd436
Dearborn, MI 48126-2696
Phone 313-584-1940 · Fax 313-584-1945
Mailing address
6 Parklane Blvd436
Dearborn, MI 48126-2696
Phone 313-584-1940 · Fax 313-584-1945
Authorized official
Everett Bryant
MD
3135841940
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