Provider Demographics
NPI:1134277387
Name:DRESSLER, BRIAN SCOTT (DPM)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:SCOTT
Last Name:DRESSLER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23423 RYAN RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48091-1927
Mailing Address - Country:US
Mailing Address - Phone:248-544-4277
Mailing Address - Fax:248-399-1607
Practice Address - Street 1:23423 RYAN RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48091-1927
Practice Address - Country:US
Practice Address - Phone:248-544-4277
Practice Address - Fax:248-399-1607
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-06
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5901001832213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIU66857Medicare UPIN
MION94550Medicare ID - Type Unspecified