Individual
BRENDAN JAY MICHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6510 CANBERRA AVE, RURAL HALL, NC 27045-9643
(336) 710-7852
Mailing address
3601 SW 160TH AVE STE 250, MIRAMAR, FL 33027-6314
(877) 866-7123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2016-02394
NC
207QS0010X
Sports Medicine (Family Medicine) Physician
2016-02394
NC
208600000X
Surgery Physician
7580
GA
208D00000X
General Practice Physician
2016-02394
NC
Other
Enumeration date
06/27/2015
Last updated
05/29/2024
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