Doctor Name: | BRIAN STEPHEN POSTMA |
NPI Number: | 1114134061 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | TC57010223 |
Business Practice Address: | 6909 Royalton Rd Ste 304 Brecksville, OH - 441412478 |
Business Phone Number: | 4405268222 |
Business Fax Number: | 4405267881 |
Mailing Address: | 24701 Euclid Ave, EUCLID |
State: | OH |
Postal Code: | 441171714 |
Phone Number: | 4408164950 |
Fax Number: | 4408164960 |
NPI Enumeration Date: | 05/17/2007 |
NPI Last Update Date: | 08/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | TC57010223 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |