Individual
BRANDON PROCHAZKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
909 WILSON RD, WEST FEE HALL B119, EAST LANSING, MI 48824-6410
(517) 353-3070
(517) 884-1817
Mailing address
4572 SANDOWN CT, OKEMOS, MI 48864-2313
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5101028789
MI
2084P0800X
Psychiatry Physician
Primary
5151016328
MI
Other
Enumeration date
05/29/2023
Last updated
04/08/2026
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