Organization
MERRILEE R BRANDT MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTI ANDERSEN (BILLING MANAGER)
(989) 362-1273
Entity
Organization
Contact information
Practice address
110 E STATE ST, EAST TAWAS, MI 48730-1328
(989) 362-1273
(989) 362-2343
Mailing address
110 E STATE ST, EAST TAWAS, MI 48730-1328
(989) 362-1273
(989) 362-2343
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301 MB064187
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4263135
—
MI
Enumeration date
08/15/2006
Last updated
08/22/2020
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