Individual
MR. BRIAN MICHAEL MATYNIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP-BC
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-8432
Mailing address
26901 BEAUMONT BLVD, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704258311
MI
Other
Enumeration date
08/27/2012
Last updated
05/20/2025
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