| Doctor Name: | DR. BRIAN ERIC HOMER |
| NPI Number: | 1326024183 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M |
| License Number: | 5901BH001699 |
| Business Practice Address: | 615 W 14 Mile Rd Clawson, MI - 480171901 |
| Business Phone Number: | 2482888900 |
| Business Fax Number: | 2482888989 |
| Mailing Address: | 615 W 14 Mile Rd, CLAWSON |
| State: | MI |
| Postal Code: | 480171901 |
| Phone Number: | 2482888900 |
| Fax Number: | 2482888989 |
| NPI Enumeration Date: | 12/22/2005 |
| NPI Last Update Date: | 02/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 5901BH001699 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |