Organization Name: | LAURAN A. BRYAN, M.D., P.C. |
NPI Number: | 1316159361 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAURAN ANTHEA BRYAN (PRESIDENT) |
Mailing Address: | 26711 Woodward Ave Suite Ll-1 Huntington Woods |
State: | MI US |
Postal Code: | 480701333 |
Phone Number: | 2485840044 |
Fax Number: | 2485840056 |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | 4301058462 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |