Individual
DR. BRYAN D. BELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
14701 NORTHLINE RD, SOUTHGATE, MI 48195-2407
(734) 225-1505
(734) 225-1504
Mailing address
14701 NORTHLINE RD, SOUTHGATE, MI 48195-2407
(734) 225-1505
(734) 225-1504
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005813
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3151958
—
MI
01
—
950H25342
BLUE CROSS BLUE SHEILD
MI
Enumeration date
02/21/2007
Last updated
12/02/2016
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