Individual
DR. BRUCE NIEBYLSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2850 W GRAND BLVD, DETROIT, MI 48202-2643
(313) 664-8317
(313) 664-8777
Mailing address
3450 GREENTREE RD, BLOOMFIELD HILLS, MI 48304-2543
(313) 664-8316
(313) 664-8777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301042466
MI
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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