Individual
MR. DENIS BRIAN HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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