| Ryan Brandt | |
|
1001 Laurence Ave Suite A Jackson MI 49202-2979 | |
| (517) 795-2154 | |
| (517) 795-2635 |
| Full Name | Ryan Brandt |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1001 Laurence Ave, Jackson, Michigan |
| Authorized Official Name and Position | Ryan Gregory Brandt (ENDODONTIST/OWNER) |
| Authorized Official Contact | 5177952154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Brandt 1001 Laurence Ave Suite A Jackson MI 49202-2979 Ph: (517) 795-2154 | Ryan Brandt 1001 Laurence Ave Suite A Jackson MI 49202-2979 Ph: (517) 795-2154 |
| NPI Number | 1841532793 |
|---|---|
| Provider Enumeration Date | 03/19/2013 |
| Last Update Date | 04/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841532793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 2901019119 (Michigan) | Primary |
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