Individual
MICHAEL BRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2835 N GRANDVIEW BLVD, SUITE 100, PEWAUKEE, WI 53072-5546
(262) 574-1100
(262) 574-5193
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13477
WI
Other
Enumeration date
06/07/2016
Last updated
08/15/2016
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