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Individual

BRIAN DAVID GINNEBAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
(313) 916-9487
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301111654
MI

Other

Enumeration date
03/27/2013
Last updated
06/06/2023
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