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Individual

JOSEPH FENNER BRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19401 HUBBARD DR, DEARBORN, MI 48126-2641
(313) 874-4806
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
29141
MN
207R00000X
Internal Medicine Physician
65834
MN
207RG0100X
Gastroenterology Physician
Primary
4301513978
MI
207RG0100X
Gastroenterology Physician
R-12360
IA
208M00000X
Hospitalist Physician
65834
MN

Other

Enumeration date
04/04/2018
Last updated
08/06/2025
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