Individual
DR. BRIAN R STORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 MERCY DR, MUSKEGON, MI 49444-1837
(231) 739-9492
(231) 739-8932
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301067607
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4416691
—
MI
Enumeration date
10/12/2005
Last updated
09/24/2020
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