Mr. Bryan J. Collins
Case Manager/Care Coordinator in Novi, MI(View on Map)
Full Name
Mr. Bryan Jacob Collins
NPI Number
1255040051
NPI Type
Individual Provider
Gender
Male
Enumeration Date
11/21/2022
Specialties
(Taxonomies)Name
Code
171M00000X
163WE0003X
175M00000X
171000000X
146L00000X
101YP1600X
156F00000X
Primary Taxonomy
Yes
No
No
No
No
No
No
Licenses
State
Michigan
Michigan
License Number
44352254678
228937373739
Contact
Information
Purpose
Mailing
Location
Address
420 N RIDGE ST
30880 BECK RD
City
South Lyon
Novi
State
MI
MI
Postal Code
48178-1133
48377-1000
Country
US
US
Telephone Number
(248) 514-3784
(248) 926-0009
Identifiers
Identifier
33182311
Identifier State
MI
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/24/2022
Provider Address
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