Individual
DR. EMILY BROOKE BRANDSTATTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2500 E MARKET ST, LOGANSPORT, IN 46947
(574) 722-5252
(574) 722-3202
Mailing address
PO BOX 549, WABASH, IN 46992-0549
(260) 569-9550
(260) 569-9244
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003423A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200857700
—
IN
Enumeration date
07/17/2006
Last updated
08/14/2018
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