Individual
BRANDON JOHN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
14519 DETROIT AVE, LAKEWOOD, OH 44107-4316
(216) 521-4200
Mailing address
2880 N BAY DR APT N13, WESTLAKE, OH 44145-4477
(716) 479-5762
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
262845
NY
207P00000X
Emergency Medicine Physician
Primary
34010016
OH
Other
Enumeration date
06/29/2007
Last updated
09/30/2011
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