Individual
BRITNI ROSE EVA BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2514
(802) 847-2700
Mailing address
35 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2514
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301117054
MI
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
042.0014010
VT
Other
Enumeration date
04/01/2014
Last updated
07/09/2019
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