Individual
BRANDON LICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2142 N COVE BLVD, TOLEDO, OH 43606
(419) 291-4491
(419) 479-6905
Mailing address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-4491
(419) 479-6905
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35136915
OH
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
4301098113
MI
Other
Enumeration date
05/17/2011
Last updated
11/03/2023
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