Individual
GREGORY CHARLES BRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4716 N RIDGE RD W, ASHTABULA, OH 44004-9409
(440) 969-1112
(440) 969-9612
Mailing address
4716 N RIDGE RD W, ASHTABULA, OH 44004-9409
(440) 969-1112
(440) 969-9612
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.003654
OH
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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