Individual
MR. DARREN COLBY BRISENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3009 N SAGINAW RD, MIDLAND, MI 48640-4555
(989) 633-1350
(989) 633-1355
Mailing address
3009 N SAGINAW RD, MIDLAND, MI 48640-4555
(989) 633-1350
(989) 633-1355
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601007837
MI
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1062286
NCCPA
—
01
—
5601007837
MICHIGAN MEDICAL LICENSE
MI
Enumeration date
10/14/2005
Last updated
08/17/2023
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