Individual provider · NPI-1

Dr. Mary Melissa Mcbrien, MD

Otolaryngology · West Bloomfield, MI

NPI number1861474009
StatusActive
Last updated in NPPESOct 28, 2011

Details

NPI
1861474009
Entity type
Individual (NPI-1)
Name
Dr. Mary Melissa Mcbrien
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 15, 2005
Last updated
Oct 28, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Y00000X Otolaryngology4301404962MIYes

Other names

  • M Melissa Mcbrien (Other Name)

Practice location

6900 Orchard Lake Rd
Suite 314
West Bloomfield, MI 48322-3405

Phone 248-855-7505 · Fax 248-855-5639

Mailing address

6900 Orchard Lake Rd
Suite 314
West Bloomfield, MI 48322-3405

Phone 248-855-7505 · Fax 248-855-5639

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