Individual
BRIAN L BRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
500 CAMPUS DR, HANCOCK, MI 49930-1452
(906) 483-1000
(906) 483-1122
Mailing address
500 CAMPUS DR, HANCOCK, MI 49930-1452
(906) 483-1000
(906) 483-1122
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704197904
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
429769910
—
MI
Enumeration date
06/16/2006
Last updated
02/07/2017
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