Individual
BRYAN NI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
602 MICHIGAN AVE, HOLLAND, MI 49423-4918
(616) 392-5141
Mailing address
PO BOX 2307, HOLLAND, MI 49422-2307
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301105992
MI
Other
Enumeration date
05/21/2014
Last updated
01/03/2024
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