Healthcare Provider Details

I. General information

NPI: 1235176918
Provider Name (Legal Business Name): BRIAN FRANKLIN PERRY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 03/28/2021
Certification Date: 03/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2551 MCLEOD DR S
SAGINAW MI
48604-2827
US

IV. Provider business mailing address

2551 MCLEOD DR S
SAGINAW MI
48604-2827
US

V. Phone/Fax

Practice location:
  • Phone: 989-799-8620
  • Fax: 989-799-2664
Mailing address:
  • Phone: 989-799-8620
  • Fax: 989-799-2664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0901X
TaxonomyOtology & Neurotology Physician
License Number4301084806
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: