Individual
BRIAN MATTHEW VELKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 788-4946
Mailing address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 788-4946
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704265613
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704265613
MI
Other
Enumeration date
12/18/2012
Last updated
02/14/2013
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