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Contact Information

MARK BRAND, C.O.,C.PED
21701 W 11 MILE RD STE 2
SOUTHFIELD, MI48076-3713
 Phone: 248-352-0000
 Fax: 248-352-0001
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for MARK BRAND · (Male)

NPI Number 1598873374
Status Active
Credentials C.O.,C.PED
Entity Individual
Enumeration date 08/29/2006
Last updated 11/22/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # CO2874
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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