Individual
GARY L BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
819 N SHIAWASSEE ST STE 210, OWOSSO, MI 48867-1601
(989) 541-2663
(989) 723-3601
Mailing address
819 N SHIAWASSEE ST STE 210, OWOSSO, MI 48867-1601
(989) 541-2663
(989) 723-3601
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5101013772
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205894557
—
MI
Enumeration date
05/03/2006
Last updated
06/08/2022
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