Individual
MICHAEL G BRANSTETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
101 SOUTH DIXIE HWY, CAVE CITY, KY 42127
(270) 773-2252
(270) 773-2236
Mailing address
PO BOX 596, CAVE CITY, KY 42127-0596
(270) 773-2252
(270) 773-2236
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
006813
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006813
STATE LICENSE
KY
Enumeration date
08/16/2006
Last updated
07/08/2007
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