Individual
DR. JENNIFER LEE BRANNING
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
409 W LUDINGTON AVE, LUDINGTON, MI 49431
(213) 843-4117
(231) 843-7631
Mailing address
409 W LUDINGTON AVE, LUDINGTON, MI 49431
(213) 843-4117
(231) 843-7631
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002994
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1138520001
ADMINSTAR
MI
05
—
3305212
—
MI
Enumeration date
03/14/2006
Last updated
07/08/2007
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