Individual
BRANDON PATHIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5662 TRADEWIND DR, PORTAGE, MI 49024-1196
(269) 808-6077
Mailing address
5662 TRADEWIND DR, PORTAGE, MI 49024-1196
(269) 808-6077
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
4401006901
MI
227900000X
Registered Respiratory Therapist
RT21561
FL
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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