Individual
BRYAN M HALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
353 NAOMI ST, PLAINWELL, MI 49080-1257
(269) 685-6826
Mailing address
172 SHADOW BEND LN, BATTLE CREEK, MI 49014-7801
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17671
MI
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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