Individual
DR. CORY MICHAEL BRANTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
101 N WOLFE ST, BALTIMORE, MD 21231-1675
(443) 602-7628
Mailing address
951 FELL ST APT 816, BALTIMORE, MD 21231-3604
(817) 909-0874
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24227
MD
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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