Individual
MR. BRANDON PAUL BODNARIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8501
(913) 588-1277
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15-02801
KS
363A00000X
Physician Assistant
2023038181
MO
363A00000X
Physician Assistant
Primary
5601010426
MI
Other
Enumeration date
03/22/2021
Last updated
12/10/2025
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