Individual
DR. DANIEL MICHAEL BRISKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1814 S ROCHESTER RD, ROCHESTER HILLS, MI 48307-3532
(248) 608-2626
(248) 608-8149
Mailing address
1411 BUSH CREEK DR, GRAND BLANC, MI 48439-2306
(810) 694-4580
(810) 694-4580
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
14206
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1716907
—
MI
Enumeration date
12/01/2005
Last updated
12/23/2009
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