Individual
JARED BRANDENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 9TH AVE, C6-GSUR, SEATTLE, WA 98101-2756
(206) 625-7188
(206) 625-7245
Mailing address
1100 9TH AVE, MS: M4-PFS, SEATTLE, WA 98101-2756
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
81861
AZ
208600000X
Surgery Physician
Primary
MD60218202
WA
Other
Enumeration date
07/06/2007
Last updated
08/20/2013
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