Individual
NICKLAUS BRANDEHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2823 FRESNO ST, FRESNO, CA 93721-1324
(559) 499-6440
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A127500
CA
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
Primary
A127500
CA
Other
Enumeration date
04/30/2012
Last updated
10/08/2020
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