Individual
BRANDON ROBERT COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5515 CLEVELAND AVE STE 5, STEVENSVILLE, MI 49127-9670
(269) 429-9644
(269) 429-4022
Mailing address
5515 CLEVELAND AVE STE 5, STEVENSVILLE, MI 49127-9670
(269) 429-9644
(269) 429-4022
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101024390
MI
207Q00000X
Family Medicine Physician
9408307
KS
Other
Enumeration date
06/04/2014
Last updated
08/20/2018
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