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Contact Information

DAVID L BRANDRETH, DPM
6199 MILLER RD
SUITE B
SWARTZ CREEK, MI48473-1585
 Phone: 810-635-0554
 Fax: 810-635-0558
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DAVID L BRANDRETH · (Male)

NPI Number 1255431946
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 09/23/2006
Last updated 07/14/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 5901001472
  • MI Medicaid 1983802
  • MI Other 5251018 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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