Individual
MR. DENIS BRIAN HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8265 TRAIL RDG, DEXTER, MI 48130-9387
(734) 546-7583
Mailing address
8265 TRAIL RDG, DEXTER, MI 48130-9387
(734) 546-7583
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301038336
MI
207N00000X
Dermatology Physician
DH038336
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070000253
MEDICARE RAILROAD
MI
01
—
0774600151
BLUE CROSS BLUE SHIELD
MI
01
—
0810015
BLUE CROSS BLUE SHIELD
MI
05
—
2106573
—
MI
Enumeration date
01/09/2007
Last updated
09/12/2019
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