Individual
DR. JUDITH G BRYSK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
32255 NORTHWESTERN HWY STE 130A, FARMINGTON HILLS, MI 48334-1566
(248) 723-5880
(248) 723-5889
Mailing address
29992 NORTHWESTERN HWY STE C, FARMINGTON HILLS, MI 48334-3292
(248) 851-1430
(248) 851-5182
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301049453
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205935871
—
MI
01
—
MI4989634
MEDICARE PTAN
MI
Enumeration date
09/21/2006
Last updated
05/28/2019
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