Dr. Bryan Daniel Sofen
Dermatologist
43151 Dalcoma Dr Ste 4
Clinton Township
, Michigan 48038-6306
Dr. Bryan Daniel Sofen
Dermatologist
43151 Dalcoma Dr Ste 4
Clinton Township
, Michigan 48038-6306
(586) 649-6699
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Bryan Daniel Sofen
- 43151 Dalcoma Dr Ste 4
- Clinton Township, MI
- Zip : 48038-6306
- Fax : (586) 649-6699
- Phone : (586) 286-8720
Second Address
- Dr. Bryan Daniel Sofen
- 43151 Dalcoma Dr Ste 4
- Clinton Township, MI
- Zip : 48038-6306
- Fax : (586) 649-6699
- Phone : (586) 286-8720
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 4301113046 | MI |
National Provider Identifier
| NPI | 1043452139 |
|---|---|
| Provider Name | Dr. Bryan Daniel Sofen |
| First Address | Clinton Township, MI 48038-6306 |
| Second Address | Clinton Township, MI 48038-6306 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/04/2009 |
| Last Update Date | 12/05/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.