MEDICARE: DR. BRIAN SCOTT DRESSLER D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213EP1101X	Primary Podiatric Medicine Podiatrist	5901001832	MI

General Provider Information

NPI Number	:	1134277387
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN SCOTT DRESSLER D.P.M.

Provider Business Mailing Address
First Line	:	23423 RYAN RD
Second Line	:
City	:	WARREN
State	:	MI
Zip	:	48091-1927
Country	:	US
Telephone Number	:	248-544-4277
Fax Number	:	248-399-1607

Provider Business Practice Location Address
First Line	:	23423 RYAN RD
Second Line	:
City	:	WARREN
State	:	MI
Zip	:	48091-1927
Country	:	US
Telephone Number	:	248-544-4277
Fax Number	:	248-399-1607

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2007
Last Update Date	:	10/18/2016

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