Individual
MR. MARK BRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.O.,C.PED
Contact information
Practice address
21701 W 11 MILE RD STE 2, SOUTHFIELD, MI 48076-3713
(248) 352-0000
(248) 352-0001
Mailing address
21701 W 11 MILE RD STE 2, SOUTHFIELD, MI 48076-3713
(248) 352-0000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
CO2874
MI
Other
Enumeration date
08/29/2006
Last updated
11/22/2022
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