Individual
BRANDON LEGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSS
Contact information
Practice address
610 SOUTH BURDICK, KALAMAZOO, MI 49007
(269) 381-3700
(269) 381-3810
Mailing address
610 S BURDICK ST, KALAMAZOO, MI 49007-5221
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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