Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 4301058041 | MI |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 4301058041 | MI |
NPI | 1013984236 |
---|---|
Provider Name | Dr. David Bryant JR. |
First Address | Troy, MI 48083-1138 |
Second Address | Detroit, MI 48201-2007 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2006 |
Last Update Date | 17/10/2016 |