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Individual

BRIAN JOSEPH ALLAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NURSE PRACTITIONER

Contact information

Practice address
1738 RIDGE RD, WHITE LAKE, MI 48383-1784
(248) 459-5253
Mailing address
1738 RIDGE RD, WHITE LAKE, MI 48383-1784
(248) 459-5253

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704308354
MI
363LF0000X
Family Nurse Practitioner
Primary
4704308354
MI

Other

Enumeration date
05/25/2020
Last updated
07/28/2020
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