Individual
BRYAN E. LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 SAINT ANTOINE ST, SUITE 6A, DETROIT, MI 48201-2153
(313) 745-4230
(313) 745-4298
Mailing address
PO BOX 673671, DMC BILLING ASSOCIATES, LLC, DETROIT, MI 48267-3671
(313) 745-4230
(313) 745-4298
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301083398
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
464325010
—
MI
01
—
700H262250
BLUE CROSS-BLUE CROSS
—
01
—
BL083398
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
11/28/2006
Last updated
08/26/2009
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