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Individual

BRANDON KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1400 MERCY DR, MUSKEGON, MI 49444-1836
(231) 733-1326
(231) 733-5212
Mailing address
1400 MERCY DR, MUSKEGON, MI 49444-1836
(231) 733-1326
(231) 733-5212

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301096628
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1194046953
WA
Enumeration date
06/16/2010
Last updated
02/27/2017
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