Individual
DR. GRETCHEN WASSERSTROM BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
900 RIO EAST CT, STE. A, CHARLOTTESVILLE, VA 22901-8040
(434) 975-7777
(434) 975-7774
Mailing address
900 RIO EAST CT, STE. A, CHARLOTTESVILLE, VA 22901-8040
(434) 975-7777
(434) 975-7774
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101057619
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006733328
—
VA
Enumeration date
12/06/2005
Last updated
04/18/2020
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