Individual
BRANDON ALAIN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
11105 E JEFFERSON AVE, DETROIT, MI 48214-3317
(248) 794-2576
Mailing address
11105 E JEFFERSON AVE, DETROIT, MI 48214-3317
(248) 794-2576
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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