Individual
BRANDON MICHAEL NATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 DELAWARE SR. SE, UNIVERSITY OF MINNESOTA PHYSICIANS , MMC 404, MINNEAPOLIS, MN 55455
(612) 626-6777
Mailing address
420 DELAWARE SR. SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MMC 404, MINNEAPOLIS, MN 55455
(612) 626-6777
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
48500
MN
2080P0205X
Pediatric Endocrinology Physician
Primary
48500
CA
Other
Enumeration date
06/13/2006
Last updated
04/16/2012
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