Organization
L BRINTLEY MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACESHA BRINTLEY MD (OWNERPHYSICIAN)
(734) 464-3400
Entity
Organization
Contact information
Practice address
2617 W GRAND BLVD, DETROIT, MI 48208-1234
(734) 464-3400
(734) 464-4550
Mailing address
2617 W GRAND BLVD, DETROIT, MI 48208-1234
(734) 464-3400
(734) 464-4550
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
MI
Other
Enumeration date
01/14/2007
Last updated
07/01/2013
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