Individual
DR. BRENT L HIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5000
Mailing address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
5101008112
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3328496
—
MI
Enumeration date
07/13/2006
Last updated
07/08/2007
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