Individual
DR. STACEY LYNN BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO, MPH
Contact information
Practice address
88 MDG/SGHJ, 4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433
(937) 938-2735
Mailing address
88 MDG/SGHJ, 4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433
(937) 938-2735
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
5101014465
MI
Other
Enumeration date
09/20/2005
Last updated
08/13/2020
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