Search › Michigan › 208VP0014X
Bryant Ittiara, D.O
NPI 1871829069 · on the registry since 2009 · sole proprietor
Practice
- Address
- 18707 Ecorse Rd
Allen Park, MI 48101 - Phone
- (734) 682-3309
- Fax
- (734) 682-1488
Registry record
- Primary taxonomy
- 208VP0014X
208VP0014X
- Also registered as
- 207L00000X
207LP2900X - Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-01-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan