Individual
BENJAMIN STEVENS BRYNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
675 N SAINT CLAIR ST STE 19-100, CHICAGO, IL 60611-5969
(312) 664-3278
(312) 695-5774
Mailing address
1112 HOSP SOUTH GREEN ZONE, DUMC 2834, DURHAM, NC 27710-0001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
201900619
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036161012
IL
390200000X
Student in an Organized Health Care Education/Training Program
201600619
NC
390200000X
Student in an Organized Health Care Education/Training Program
4301094028
MI
Other
Enumeration date
06/26/2009
Last updated
11/02/2022
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