Individual
BRANDON SUFRONKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
774 INTERNET DR, COLUMBUS, OH 43207-2589
(614) 443-5454
Mailing address
5532 HAPPY HOLLOW RD, NELSONVILLE, OH 45764-9487
(740) 590-4802
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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