IndividualActive
Brian Ginnebaugh
NPI 1841533874 · Gastroenterology Physician · Detroit, MI
Provider details
- NPI number
- 1841533874
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 4301111654 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (800) 653-6568
Fax: (313) 916-9487
Approximate (ZIP-level) locationGet directions
Mailing address
2799 W Grand Blvd
Detroit, MI 48202-2608
Additional practice locations (1)
- 6777 W Maple RdWest Bloomfield, MI 48322-3013Phone: (800) 653-6568Fax: (248) 661-6447
Registry dates
- Enumerated
- 2013-03-27
- Last updated
- 2023-06-06
- Certified
- 2023-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.