Individual
GAIL K BRYAN-BESTEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2215 44TH ST SW, WYOMING, MI 49519-6439
(616) 252-8300
(616) 252-8460
Mailing address
1925 BRETON RD SE, GRAND RAPIDS, MI 49506-4810
(616) 252-4765
(616) 252-0127
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101078419
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4756998
—
MI
Enumeration date
04/11/2006
Last updated
07/09/2007
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