Individual
CARRIE SUZANNE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4620 GENESYS PKWY, GRAND BLANC, MI 48439-8067
(810) 606-7200
(810) 606-7115
Mailing address
3399 POLLOCK RD, GRAND BLANC, MI 48439-8395
(810) 603-0170
(810) 579-1705
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601005736
MI
363AS0400X
Surgical Physician Assistant
5601005736
MI
Other
Enumeration date
06/28/2010
Last updated
03/07/2017
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