| |
2109 Caranome Dr, Swartz Creek, MI 48473-9719 | |
(810) 630-8141 | |
(810) 635-9357 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 2109 Caranome Dr, Swartz Creek, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952440273 | NPI | - | NPPES |
4412852 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 5901002061 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
2109 Caranome Dr, Swartz Creek, MI 48473-9719 Ph: (810) 630-8141 | 2109 Caranome Dr, Swartz Creek, MI 48473-9719 Ph: (810) 630-8141 |
Dr. David Leonard Brandreth, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6199 Miller Rd, Suite B, Swartz Creek, MI 48473 Phone: 810-635-0554 Fax: 810-635-0558 |