Individual
BRYANT CLAYTON HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4201 SAINT ANTOINE ST # 9C, DETROIT, MI 48201-2153
(313) 993-2530
(313) 993-7703
Mailing address
1148 AUTUMN RDG NE, ADA, MI 49301-8805
(616) 443-9793
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01093349A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2021
Last updated
07/05/2024
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