Individual
GREGORY BRANSTETTER
Active
Individual
GREGORY BRANSTETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CST,CFA,KCSA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
82418
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00F817
CERTIFIED FIRST ASSISTANT
KY
Enumeration date
01/24/2007
Last updated
07/08/2007
Update your record
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