Individual
DR. RYAN BROTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
32270 TELEGRAPH RD STE 200, BINGHAM FARMS, MI 48025-2428
(248) 353-0880
Mailing address
32270 TELEGRAPH RD STE 200, BINGHAM FARMS, MI 48025-2428
(248) 353-0880
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
11008558-1204
UT
207N00000X
Dermatology Physician
Primary
5101025916
MI
390200000X
Student in an Organized Health Care Education/Training Program
5101023189
MI
Other
Enumeration date
06/08/2017
Last updated
10/07/2021
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