Individual
MR. BRYAN SAFRANSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA LLP
Contact information
Practice address
34276 52ND STREET, BANGOR, MI 49013-0177
(269) 655-3345
(269) 427-1012
Mailing address
PO BOX 177, BANGOR, MI 49013-0177
(269) 655-3345
(269) 427-1012
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301009926
MI
103TC0700X
Clinical Psychologist
Primary
6361002723
MI
Other
Enumeration date
09/01/2016
Last updated
02/22/2022
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