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Individual

DR. JIMMY WAYNE BRANDON

Active
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Individual

DR. JIMMY WAYNE BRANDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO, MPH

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101011123
MI
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
5101011123
MI

Other

Enumeration date
07/05/2006
Last updated
10/08/2022
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