Individual
MICHAEL BRANDON LIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
147 E VINE ST STE 49, REDLANDS, CA 92373-4760
(909) 547-3434
Mailing address
PO BOX 2081, REDLANDS, CA 92373-0661
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
20A14709
CA
207N00000X
Dermatology Physician
UO5280
FL
208600000X
Surgery Physician
BP10048758
TX
Other
Enumeration date
06/30/2014
Last updated
12/30/2024
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