Individual
BRANDON MICHAEL LUNDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 CHURCH ST, SARATOGA SPRINGS, NY 12866
(518) 587-1141
Mailing address
211 CHURCH ST, SARATOGA SPRINGS, NY 12866-1090
(518) 587-1141
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
015656-1
NY
Other
Enumeration date
07/06/2012
Last updated
07/05/2018
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