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Individual

MARINA BRYKALOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
24111 SOUTHFIELD RD, SOUTHFIELD, MI 48075-2841
(248) 557-8800
Mailing address
23954 CHIPMUNK TRL, NOVI, MI 48375-3335
(651) 600-2245

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
175236-0
MN
363LA2200X
Adult Health Nurse Practitioner
Primary
4704315610
MI

Other

Enumeration date
10/16/2008
Last updated
10/06/2015
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