BRYAN JON PACK

GRAND RAPIDS, MI
NPI1295944239
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: MI  4301086174)
Additional Taxonomies207X00000X Orthopaedic Surgery
(Licence: IL  036-125552)
Enumeration Date2007-05-22
Last Update Date2014-03-21
Business Address
Dr. BRYAN JON PACK MD
350 LAFAYETTE AVE SE 4TH FLOOR
GRAND RAPIDS, MI 49503-4656
Phone number: 616-459-9404
Mailing Address
Dr. BRYAN JON PACK MD
3565 MOMENTUM PL
CHICAGO, IL 60689-5335
Phone number: 616-459-9404