Individual
BRIAN AUGUST PRIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 303-4832
Mailing address
6449 ALMOND LN, CLARKSTON, MI 48346-2205
(248) 303-4832
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704289587
MI
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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