Individual
BRANDON BRUCE REDOUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
37150 S GRATIOT AVE, CLINTON TWP, MI 48036-2702
(586) 267-1334
Mailing address
23516 HARVARD SHORE DR, CLINTON TOWNSHIP, MI 48035-4339
(586) 214-5028
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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