Organization
BRIAN T. GIETZEN, M. D., P. C.
Active
Other names
Legacy Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN T GIETZEN M.D. (OWNER MEDICAL DIRECTOR)
(248) 650-1800
Entity
Organization
Contact information
Practice address
1460 WALTON BLVD, SUITE 200, ROCHESTER HILLS, MI 48309-1768
(248) 650-1800
(248) 650-1856
Mailing address
1460 WALTON BLVD, SUITE 200, ROCHESTER HILLS, MI 48309-1768
(248) 650-1800
(248) 650-1856
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301070159
MI
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/20/2007
Last updated
10/15/2020
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