Individual
DR. BRANDI JENKS GUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1105 6TH ST, TRAVERSE CITY, MI 49684-2345
(231) 947-0673
(801) 740-2847
Mailing address
579 N SUPERIOR AVE, DECATUR, GA 30033-5401
(404) 617-4943
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
4301113406
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301113406
LICENSE
MI
Enumeration date
04/08/2013
Last updated
07/21/2022
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