Individual
DR. BRIAN MATTHEW KREISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2907 BRETON RD SE, GRAND RAPIDS, MI 49512-1745
(616) 914-2020
Mailing address
2848 BELLEGLADE CT SE, GRAND RAPIDS, MI 49546-8011
(616) 914-2020
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000622
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1601000622
STATE OF MICHIGAN AUDIOLOGY LICENSE
MI
Enumeration date
05/12/2022
Last updated
07/30/2023
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