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Individual

BRIAN PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
2500 PACKARD ST STE 104A, ANN ARBOR, MI 48104-6827
(734) 707-1052
(734) 661-1887
Mailing address
117 SWEETHEART LN, BATTLE CREEK, MI 49017-9228
(734) 474-1113

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704288196
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704288196
MI

Other

Enumeration date
09/19/2014
Last updated
09/19/2023
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