Individual
BRANDON A. PROWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CERTIFIEDHAIRLOSSSPE
Contact information
Practice address
6505 MAYFIELD RD STE 1062, MAYFIELD HEIGHTS, OH 44124-3216
(216) 413-9250
Mailing address
34 LEXINGTON SQ, EUCLID, OH 44143-2417
(216) 965-5895
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
COS.165572
OH
224P00000X
Prosthetist
Primary
COS.165572
OH
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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