Individual
BRIAN DROZDOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
437 120TH AVE, HOLLAND, MI 49424-2119
(616) 738-0737
Mailing address
437 120TH AVE, HOLLAND, MI 49424-2119
(616) 738-0737
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
BD078364
MI
208000000X
Pediatrics Physician
BD078364
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1100311602
BCBS MI PROV #
MI
01
—
35513
HEALTH PLAN OF MI
MI
05
—
4758203
—
MI
01
—
BD078364
STATE LICENSE #
MI
01
—
P00229880
RAILROAD MEDICARE
MI
Enumeration date
11/07/2005
Last updated
09/24/2010
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