Individual
DR. MICHAEL JOHN BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 372-1761
(608) 372-1203
Mailing address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 372-1761
(608) 372-1203
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1704
WI
Other
Enumeration date
06/26/2006
Last updated
07/08/2007
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