Individual
MRS. BRYN ELIZABETH BUTKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
22151 MOROSS RD, PB ONE SUITE 131, DETROIT, MI 48236-2167
(313) 642-9838
Mailing address
2366 WILTSHIRE RD, BERKLEY, MI 48072-1824
(248) 763-3901
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704216984
MI
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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