Individual
DR. BRIAN ROBERT DEVETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 JOHN ST, KALAMAZOO, MI 49007-5341
(269) 341-7654
Mailing address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
(269) 337-4400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301094410
MI
390200000X
Student in an Organized Health Care Education/Training Program
5315040980
MI
Other
Enumeration date
06/02/2009
Last updated
11/15/2018
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