Individual
DR. BRIAN A CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
189 TOWNSEND ST, STE 300, BIRMINGHAM, MI 48009-6008
(248) 642-3737
(248) 642-1083
Mailing address
189 TOWNSEND ST, STE 300, BIRMINGHAM, MI 48009-6008
(248) 642-3737
(248) 642-1083
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301033502
MI
Other
Enumeration date
10/20/2005
Last updated
10/03/2011
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