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Individual
BRYAN L. MYERS
Active
Individual
BRYAN L. MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47138
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0852480001
DMERC
WI
05
—
34572900
—
WI
01
—
P00348489
RAILROAD MEDICARE
WI
Enumeration date
06/08/2006
Last updated
01/15/2008
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