Organization
BRANDON A WEST DPM JD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON A WEST DPM JD (OWNER / MEMBER)
(248) 624-1900
Entity
Organization
Contact information
Practice address
1266 S COMMERCE RD, WALLED LAKE, MI 48390-3008
(248) 624-1900
Mailing address
21120 CONSTITUTION ST, SOUTHFIELD, MI 48076-5509
(248) 624-1900
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
BW001378
MI
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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