Individual
JENNIFER MOORE BRANDSTETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10524 EUCLID AVE, WO WALKER CENTER - 13TH FLOOR, CLEVELAND, OH 44106-2205
(216) 983-5650
(216) 844-5833
Mailing address
10524 EUCLID AVE FL 13, CLEVELAND, OH 44106-2205
(216) 983-5657
(216) 844-5833
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35.099938
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2009
Last updated
12/08/2020
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