Individual
DR. COLIN BRANNAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10506 COLDWATER RD, FORT WAYNE, IN 46845-1235
(260) 637-6976
Mailing address
100 STEPHENS RD, GROSSE POINTE FARMS, MI 48236-3625
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12014083A
IN
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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