Individual
EVAN BRANDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 E APPLE ST STE 6258, DAYTON, OH 45409-2932
(937) 208-8000
Mailing address
30 E APPLE ST STE 6258, DAYTON, OH 45409-2932
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
57.258989
OH
Other
Enumeration date
05/10/2025
Last updated
05/14/2025
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