Individual
DR. BRANDON MICHAEL WUBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 PROGRESS POINT PKWY, DEPT EMERGENCY MED, O FALLON, MO 63368-2205
(314) 362-9123
(314) 747-9160
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-9123
(314) 747-9160
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2025029102
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200118016
—
MO
Enumeration date
05/25/2018
Last updated
09/09/2025
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