Basic Information
| Provider Information | |||||||||
| NPI: | 1255626636 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BRITT-DEWYER | ||||||||
| FirstName: | REBECCA | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 401 S BALLENGER HWY | ||||||||
| Address2: | |||||||||
| City: | FLINT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 485323638 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8103421000 | ||||||||
| FaxNumber: | 8103421590 | ||||||||
| Practice Location | |||||||||
| Address1: | 401 E. HURON RD | ||||||||
| Address2: | |||||||||
| City: | AU GRES | ||||||||
| State: | MI | ||||||||
| PostalCode: | 487039353 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9895324100 | ||||||||
| FaxNumber: | 9895324110 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/14/2011 | ||||||||
| LastUpdateDate: | 11/20/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 5101019402 | MI | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.