Individual
MR. DANIEL R. BRISTOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
1655 E CARO RD, CARO, MI 48723-9319
(989) 673-2500
Mailing address
1655 E CARO RD, CARO, MI 48723-9319
(989) 673-2500
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301003981
MI
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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