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Individual

ERIK BRANDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
OLD FEDERAL BLDG, 3RD FLOOR, NOME, AK 99762
(907) 443-3311
(907) 443-6411
Mailing address
306 W 5TH, NOME, AK 99762
(907) 443-3311
(907) 443-6411

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
CM1249
AK
171M00000X
Case Manager/Care Coordinator
Primary
CMG414
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CM1249
AK
05
CMG414
AK
05
HC4141
AK
Enumeration date
03/19/2007
Last updated
12/06/2007
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