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Individual

BRANDON MICHAEL WEEKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
25455 HIGHWAY 1, PLAQUEMINE, LA 70764-7513
(225) 754-6870
(225) 754-6805
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
300412
LA
207Q00000X
Family Medicine Physician
BP1-0039556
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02435750
MS
05
2430459
LA
Enumeration date
05/18/2011
Last updated
03/22/2018
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