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Individual

BRYAN JAY DAINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
5450 FORT ST, TRENTON, MI 48183-4601
(385) 626-4045
Mailing address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
5151015494
MI

Other

Enumeration date
06/01/2022
Last updated
07/05/2023
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