Individual
DR. MARY MELISSA MCBRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6900 ORCHARD LAKE RD, SUITE 314, WEST BLOOMFIELD, MI 48322-3405
(248) 855-7505
(248) 855-5639
Mailing address
6900 ORCHARD LAKE RD, SUITE 314, WEST BLOOMFIELD, MI 48322-3405
(248) 855-7505
(248) 855-5639
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301404962
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278151610
—
MI
Enumeration date
11/15/2005
Last updated
10/28/2011
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