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Individual

DR. JUSTIN LEE BRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-1557
Mailing address
100 W 5TH ST APT 602, ROYAL OAK, MI 48067-2561
(248) 462-2023

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301096746
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1205091915
MI
Enumeration date
07/22/2008
Last updated
09/01/2022
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