Male or Other

Dr. Brian R. Beissel OD

Optometrist in Lansing, MI(View on Map)

Full Name

Dr. Brian R Beissel OD

NPI Number

1417048430

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/27/2006

Specialties

(Taxonomies)

Code

152W00000X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

4901004344

Contact
Information

Purpose

Mailing
Location

Address

4004 W ST JOSEPH HWY
4004 W ST JOSEPH HWY

City

Lansing
Lansing

State

MI
MI

Postal Code

48917-4215
48917-4215

Country

US
US

Telephone Number

(517) 321-1154
(517) 321-1154

Identifiers

Identifier

2200298

Identifier State

Unknown

Identifier Issuer

PHYSICIANS HEALTH PLAN

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/09/2007

Provider Address

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