Individual
BRIAN FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5824 RED COAT LN, WEST BLOOMFIELD, MI 48322-1710
(248) 943-3583
Mailing address
5824 RED COAT LN, WEST BLOOMFIELD, MI 48322-1710
(248) 943-3583
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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