Organization
LAURAN A. BRYAN, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURAN ANTHEA BRYAN M.D. (PRESIDENT)
(248) 584-0044
Entity
Organization
Contact information
Practice address
26711 WOODWARD AVE, SUITE LL-1, HUNTINGTON WOODS, MI 48070-1333
(248) 584-0044
(248) 584-0056
Mailing address
26711 WOODWARD AVE, SUITE LL-1, HUNTINGTON WOODS, MI 48070-1333
(248) 584-0044
(248) 584-0056
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
4301058462
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0632611
BCBS OF MI
MI
01
—
4301058462
STATE MEDICAL LICENSE
MI
Enumeration date
05/03/2007
Last updated
08/22/2020
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