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Individual

DR. BRYAN C WEST

Active
Find providers by NPI
Individual

DR. BRYAN C WEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
BW002032
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007767468
AETNA
MI
01
—
149092
GREAT LAKE HEALTH PLAN
MI
01
—
38-2777871
TAX ID #
—
05
—
4717640
—
MI
Enumeration date
01/24/2006
Last updated
03/01/2013
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