Individual
TROY BRANIGAN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2511 BARONET CT, FORT WAYNE, IN 46815-6801
(260) 740-6292
(260) 484-4174
Mailing address
2511 BARONET CT, FORT WAYNE, IN 46815-6801
(260) 740-6292
(260) 484-4174
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
59184
IN
Other
Enumeration date
05/23/2007
Last updated
07/09/2007
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