Individual
DR. BARRY D. BRONSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8305 GRAND RIVER AVE, DETROIT, MI 48204-2231
(313) 894-1900
(313) 894-4206
Mailing address
27774 FRANKLIN RD, SOUTHFIELD, MI 48034-2352
(248) 356-5555
(248) 356-5544
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101007671
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3142707-11
—
MI
Enumeration date
08/18/2005
Last updated
01/19/2012
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