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Individual

ROBERT J BRICKNER JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.C.

Contact information

Practice address
737 N GRAND AVE, LANSING, MI 48906-5160
(517) 372-0500
(517) 482-3220
Mailing address
737 N GRAND AVE, LANSING, MI 48906-5160
(517) 372-0500
(517) 482-3220

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301034509
MI
208C00000X
Colon & Rectal Surgery Physician
Primary
4301034509
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2099639
MI
Enumeration date
12/06/2005
Last updated
09/20/2011
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