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Individual

BRIAN BIGELOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
34841 VETERANS PLZ, WAYNE, MI 48184-1733
(734) 728-3446
Mailing address
34841 VETERANS PLZ, WAYNE, MI 48184-1733
(734) 728-3446

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704205492
MI

Other

Enumeration date
11/02/2015
Last updated
03/26/2016
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