Individual
BRENDAN SCHANEL KLITSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
332 N TRADE ST, STE 1100, MATTHEWS, NC 28105-1728
(704) 512-6850
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06504
NC
Other
Enumeration date
05/04/2016
Last updated
07/15/2024
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