Individual
DR. BRANT G. WENEGRAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 MENLO AVE, MENLO PARK, CA 94025-4703
(650) 380-1676
Mailing address
344 BROADVIEW LN, ANNAPOLIS, MD 21401-7240
(650) 380-1676
(301) 270-0492
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G029885
CA
Other
Enumeration date
04/11/2007
Last updated
09/29/2022
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