Individual
STACY BRANDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-3989
Mailing address
1014 NEIL AVE APT A, COLUMBUS, OH 43201-5420
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
DR.0061467
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2013
Last updated
12/14/2018
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