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Individual

BRIAN A MASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
22151 MOROSS RD, 313, DETROIT, MI 48236-2167
(313) 343-3494
(313) 343-4932
Mailing address
43800 GARFIELD RD, CLINTON TWP, MI 48038-1136
(313) 343-7374
(313) 343-7072

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
4301061136
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4204241
MI
05
5216541
MI
Enumeration date
09/19/2005
Last updated
05/12/2009
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