Individual
BRYAN G BARNOSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
50505 SCHOENHERR RD, SUITE 290, SHELBY TOWNSHIP, MI 48315-3140
(586) 314-0080
(877) 673-3562
Mailing address
50505 SCHOENHERR RD, SUITE 290, SHELBY TOWNSHIP, MI 48315-3140
(586) 314-0080
(107) 372-6329
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
5101015127
MI
207RP1001X
Pulmonary Disease Physician
Primary
5101015127
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E00425
BCBSM
MI
05
—
5212785
—
MI
Enumeration date
05/07/2007
Last updated
03/11/2025
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