Individual
DR. BRYAN J MAZEY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
36821 GREEN ST, NEW BALTIMORE, MI 48047-1607
(586) 716-4959
(586) 716-2936
Mailing address
36821 GREEN ST, NEW BALTIMORE, MI 48047-1607
(586) 716-4959
(586) 716-2936
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
5101011409
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3508019
—
MI
Enumeration date
12/20/2005
Last updated
05/19/2014
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