Individual
BLAKE BRANNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3333 SPRING ARBOR RD STE 200, JACKSON, MI 49203-8622
(517) 205-2143
(517) 205-0143
Mailing address
3333 SPRING ARBOR RD STE 200, JACKSON, MI 49203-8622
(517) 205-2143
(517) 205-0143
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901002806
MI
Other
Enumeration date
06/28/2016
Last updated
08/20/2019
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