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Individual
BRENDAN JAY MICHEL
Active
Individual
BRENDAN JAY MICHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2016-02394
NC
207QS0010X
Sports Medicine (Family Medicine) Physician
2016-02394
NC
208600000X
Surgery Physician
7580
GA
208D00000X
General Practice Physician
2016-02394
NC
Other
Enumeration date
06/27/2015
Last updated
05/29/2024
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