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Individual
BRANDON AUGUST CESTARIC
Active
Individual
BRANDON AUGUST CESTARIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1905
WV
207Q00000X
Family Medicine Physician
34.015445
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1842022000
—
WV
05
—
2601590
—
OH
05
—
3810010399
—
WV
01
—
P00403709
RAILROAD MEDICARE
—
Enumeration date
03/08/2006
Last updated
11/08/2021
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