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NPI Code Detail

MEDICARE: BRYAN COLE HUNTER NP

MEDICARE: BRYAN COLE HUNTER NP
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
1363LF0000XFamily Nurse Practitioner4704302038MI

General Provider Information

NPI Number : 1154870087
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRYAN COLE HUNTER NP
Provider Business Mailing Address
First Line : PO BOX 1848
Second Line :
City : MUSKEGON
State : MI
Zip : 49443-1848
Country : US
Telephone Number : 231-672-2120
Fax Number : 313-432-7758
Provider Business Practice Location Address
First Line : 601 W SAVIDGE ST
Second Line :
City : SPRING LAKE
State : MI
Zip : 49456-1620
Country : US
Telephone Number : 231-672-3100
Fax Number : 231-672-3102
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2016
Last Update Date : 01/07/2021

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