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Individual

BRIAN VENGLAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
2558 N SQUIRREL RD, AUBURN HILLS, MI 48326-2383
(248) 340-1100
(248) 340-1101
Mailing address
2558 N SQUIRREL RD, AUBURN HILLS, MI 48326-2383
(248) 340-1100
(248) 340-1101

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1211370
TX
225100000X
Physical Therapist
Primary
5501015521
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12274281
CAQH
Enumeration date
04/14/2011
Last updated
01/07/2021
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