Individual
DR. BRYAN JOSEPH CAPEN I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
25136 JEFFERSON CT, SOUTH LYON, MI 48178-1173
(313) 333-5250
Mailing address
25136 JEFFERSON CT, SOUTH LYON, MI 48178-1173
(313) 333-5250
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038011440
IL
111N00000X
Chiropractor
Primary
2301008720
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950H202000
BLUE CROSS BLUE SHIELD
MI
Enumeration date
09/07/2006
Last updated
09/24/2015
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