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Individual

DR. BRANDON GAETINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2006 HOGBACK RD STE 5A, ANN ARBOR, MI 48105-9750
(734) 263-2395
(734) 773-3471
Mailing address
2006 HOGBACK RD STE 5A, ANN ARBOR, MI 48105-9750
(734) 263-2395
(734) 773-3471

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
4301089293
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0508145512
BLUE CROSS BULE SHIELD MI
MI
Enumeration date
03/13/2007
Last updated
03/17/2026
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