Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 5901001832 | MI |
NPI | 1134277387 |
---|---|
Provider Name | Dr. Brian Scott Dressler |
First Address | Warren, MI 48091-1927 |
Second Address | Warren, MI 48091-1927 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2007 |
Last Update Date | 18/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U66857 | (02) | MI |