Individual
DR. EMILY DIANNE BRANDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503
(616) 840-8005
Mailing address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 840-8000
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000508
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1601000508
MICHIGAN LICENSE
MI
Enumeration date
02/01/2008
Last updated
07/31/2019
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