Individual
JAYSEN DOUGLAS BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-7784
(248) 898-8181
Mailing address
130 TOWN CENTER DR STE 203, TROY, MI 48084-1744
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704271479
MI
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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