Individual
MR. BRANDON MICHAEL HOENICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CTRS
Contact information
Practice address
35514 INDIGO DR, STERLING HEIGHTS, MI 48310-4946
(586) 212-2671
Mailing address
128 CHURCH ST, ROMEO, MI 48065-4605
(586) 243-3132
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
65749
MI
Other
Enumeration date
10/20/2017
Last updated
10/20/2017
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