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Individual

DR. WARREN L BRANDES

Active
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Individual

DR. WARREN L BRANDES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
5101006748
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1285613364
MI
05
1320120
MI
05
1320149
MI
05
3429588
MI
01
MI4989307
MEDICARE PTAN
MI
Enumeration date
01/17/2006
Last updated
11/25/2019
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