Individual
MICHELLE DENISE BRANDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5543 BELMONT DR, SHAWNEE, KS 66226-3623
(913) 963-8202
Mailing address
5543 BELMONT DR, SHAWNEE, KS 66226-3623
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
1359172121
KS
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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