Individual
JENNIFER BRYCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 WILLIAM CARLS DR, COMMERCE TOWNSHIP, MI 48382-2201
(248) 937-4764
(248) 937-4729
Mailing address
42557 WOODWARD AVE, STE 130, BLOOMFIELD HILLS, MI 48304-5206
(248) 322-3088
(248) 322-4175
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601002383
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265551097
—
MI
01
—
500H274490
BCBSM GROUP PIN MHP
MI
01
—
DS0605
RAIL ROAD MEDICARE GROUP PIN MHP
MI
01
—
MI4989
MEDICARE GROUP PTAN MHP
MI
01
—
MI4989416
MEDICARE PTAN MHP
MI
Enumeration date
03/29/2007
Last updated
06/30/2014
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