Individual
MR. SHAWN R BRANDENBURG
Active
Individual
MR. SHAWN R BRANDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
007523
AZ
207X00000X
Orthopaedic Surgery Physician
Primary
2065
NE
207X00000X
Orthopaedic Surgery Physician
5101020408
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026188000
—
NE
Enumeration date
06/19/2013
Last updated
08/13/2019
Update your record
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