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Individual

BRYAN D STAFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 985-4541
Mailing address
254 MOUNT TABOR RD, BUCHANAN, MI 49107-8328
(269) 422-2925

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
02001116A
IN
207P00000X
Emergency Medicine Physician
Primary
993558
MI

Other

Enumeration date
09/09/2005
Last updated
07/08/2007
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