Individual
DR. DAVID LEONARD BRANDRETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
6199 MILLER RD, SUITE B, SWARTZ CREEK, MI 48473-1585
(810) 635-0554
(810) 635-0558
Mailing address
6199 MILLER RD, SUITE B, SWARTZ CREEK, MI 48473-1585
(810) 635-0554
(810) 635-0558
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001472
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1983802
—
MI
01
—
5251018
BLUE CROSS BLUE SHIELD
MI
Enumeration date
09/23/2006
Last updated
07/14/2010
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