Individual
MR. BRYAN ANGELO FACIONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
2215 FULLER RD, ROUTING NUMBER: 112; ROOM A132-1, ANN ARBOR, MI 48105-2303
(734) 845-5349
(734) 845-3262
Mailing address
2215 FULLER RD, ROUTING NUMBER: 112; ROOM A132-1, ANN ARBOR, MI 48105-2303
(734) 845-5349
(734) 845-3262
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704227361
MI
Other
Enumeration date
09/18/2010
Last updated
09/18/2010
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