Provider Demographics
NPI:1477529238
Name:GOVER, BRYANNA K (MS)
Entity Type:Individual
Prefix:MRS
First Name:BRYANNA
Middle Name:K
Last Name:GOVER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1674 EATON RD
Mailing Address - Street 2:
Mailing Address - City:BERKLEY
Mailing Address - State:MI
Mailing Address - Zip Code:48072-2064
Mailing Address - Country:US
Mailing Address - Phone:313-593-8483
Mailing Address - Fax:313-436-2004
Practice Address - Street 1:OAKWOOD HOSPITAL AND MEDICAL CENTER
Practice Address - Street 2:18181 OAKWOOD BLVD. SUITE 102G
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124
Practice Address - Country:US
Practice Address - Phone:313-593-8483
Practice Address - Fax:313-436-2004
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS