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Individual

ROLAND BRANDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1 WILLIAM CARLS DR, RSC, COMMERCE TOWNSHIP, MI 48382-2201
(248) 937-4947
(248) 937-5150
Mailing address
1 WILLIAM CARLS DR, RSC, COMMERCE TOWNSHIP, MI 48382-2201
(248) 937-4947
(248) 937-5150

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101007240
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2056305914
BCBSM PIN
MI
05
4127008 TYPE 11
MI
05
4127017 TYPE 11
MI
01
4518251
AETNA
MI
01
502919
CARE CHCS/PREF CHCS
MI
01
5606110001
ADMINISTAR FED DME RSC
MI
01
5606110003
ADMINISTAR FED DME HARTLAND
MI
01
C5548
MCARE
MI
Enumeration date
11/03/2005
Last updated
05/14/2008
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