Individual
MR. MICHAEL BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
175 N MAIN ST, FALL RIVER, MA 02720-2106
(508) 567-5086
(508) 675-3682
Mailing address
175 N MAIN ST, FALL RIVER, MA 02720-2106
(508) 567-5086
(508) 675-3682
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042505146
—
MA
Enumeration date
09/26/2018
Last updated
09/26/2018
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