Individual
BRANDON UNGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18800 JOHNSTON RD, SIDNEY, OH 45365-9755
(937) 492-5930
Mailing address
121 S OPERA ST, BELLEFONTAINE, OH 43311-2057
(937) 498-1354
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
SP 8904
OH
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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