Individual
ELIZABETH A BRANNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1881 W GRAND RIVER AVE, OKEMOS, MI 48864-1840
(517) 339-2100
Mailing address
1881 W GRAND RIVER AVE, OKEMOS, MI 48864-1840
(517) 339-2100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9111012
FL
363A00000X
Physician Assistant
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100013700
—
FL
01
—
JM891Z
MEDICARE
FL
Enumeration date
10/11/2016
Last updated
10/27/2022
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