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Individual

BRYAN JAMES KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
110 N 4TH AVE, ANN ARBOR, MI 48104-5503
(734) 356-1078
Mailing address
555 TOWNER ST, YPSILANTI, MI 48198-5723
(734) 544-3000
(734) 544-6716

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704376410
MI

Other

Enumeration date
09/01/2021
Last updated
09/01/2021
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