Individual
BRYAN PATRICK MADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-1553
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301098705
MI
207P00000X
Emergency Medicine Physician
MD175990
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/26/2011
Last updated
07/05/2016
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