Individual
MR. GRANT BRANSTETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 W JEFFERSON ST, KIRKSVILLE, MO 63501
(866) 626-2878
Mailing address
525 HICKORY LN, SAINT LOUIS, MO 63131-4736
(314) 488-4678
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MO
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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