Individual
BRANDON RYAN BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
8501 MEADOW CRK, ROCKFORD, MI 49341-7524
(616) 825-7625
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704306493
MI
Other
Enumeration date
06/04/2022
Last updated
10/01/2024
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