Individual
GAIL M BRIOLAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
3535 W 13 MILE RD STE 407, ROYAL OAK, MI 48073-6770
(248) 551-0638
(248) 551-4491
Mailing address
20952 E 12 MILE RD, SUITE 200, SAINT CLAIR SHORES, MI 48081-3200
(586) 771-4820
(586) 771-6620
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
GB201708
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F323590
BLUE CROSS BLUE SHIELD
MI
01
—
CB9133
RAILROAD MEDICARE
—
Enumeration date
07/21/2006
Last updated
01/25/2018
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