Individual
BRANDON DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3271 W CARLETON RD, HILLSDALE, MI 49242-9458
(517) 437-3879
Mailing address
3271 W CARLETON RD, HILLSDALE, MI 49242-9458
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MI
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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