Individual
BRANDON LEE HUNSBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 747-3111
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004418A
IN
363A00000X
Physician Assistant
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104197311
ANTHEM PTAN
IN
05
—
300092032
—
IN
Enumeration date
05/25/2024
Last updated
02/11/2025
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