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Brandon James Moody I
Student in an Organized Health Care Education/Training Program in Adrian, Michigan
NPI 1053876854

Brandon James Moody I is a Student in an Organized Health Care Education/Training Program based in Sylvania, MI. Brandon James Moody I practices in Adrian, MI. The NPI Number for Brandon James Moody I is 1053876854 and holds a License No. (Michigan).

The current practice location address for Brandon James Moody I is 110 S Madison St, Adrian, MI and can be reached out via phone at 517-265-5161.

Location: 110 S Madison St, Adrian, MI, 43560-2142
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053876854
Provider Name
Brandon James Moody I
Credential
Provider Entity Type
Individual
Gender
Male
Address
110 S Madison St, Adrian, MI, 43560-2142
Phone Number
517-265-5161
Fax Number
Provider Enumeration Date
02/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
110 S Madison St
City
Adrian
State
Michigan
Zip
49221-2518
Phone Number
517-265-5161
Fax Number
person
Provider Business Mailing Address Details
Address
110 S Madison St
City
Adrian
State
Michigan
Zip
49221-2518
Phone Number
517-265-5161
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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