Individual
BRANDON MICHAEL TATAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, ACCNS-AG
Contact information
Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 854-1108
Mailing address
53460 MEADOW VIEW LN, NEW BALTIMORE, MI 48047-5841
(586) 854-1108
Taxonomy
Speciality
Code
Description
License number
State
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
4704363198
MI
Other
Enumeration date
02/13/2023
Last updated
06/20/2023
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