Individual
DR. BRIAN SCOTT STOYNOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
224 NEWBERRY AVE, NEWBERRY, MI 49868-1103
(906) 291-2300
(906) 291-2300
Mailing address
25344 RED ARROW HWY, SUITE A, MATTAWAN, MI 49071-9767
(269) 668-3709
(269) 668-3713
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
BS008691
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34040
HEALTH PLAN OF MICHIGAN
MI
01
—
4430225
IBA PROVIDER #
MI
05
—
4736930
—
MI
01
—
950H010170
BLUE CROSS OF MICHIGAN
MI
Enumeration date
08/02/2005
Last updated
03/04/2020
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