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Brandon Matthew Popp
Student in an Organized Health Care Education/Training Program in Lansing, Michigan
NPI 1508560863

Brandon Matthew Popp is a Student in an Organized Health Care Education/Training Program based in Lansing, MI. Brandon Matthew Popp practices in Lansing, MI. The NPI Number for Brandon Matthew Popp is 1508560863 and holds a License No. (Michigan).

The current practice location address for Brandon Matthew Popp is 1215 E Michigan Ave, Lansing, MI and can be reached out via phone at 630-450-7791.

Location: 1215 E Michigan Ave, Lansing, MI, 48912-1811
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508560863
Provider Name
Brandon Matthew Popp
Credential
Provider Entity Type
Individual
Gender
Male
Address
1215 E Michigan Ave, Lansing, MI, 48912-1811
Phone Number
630-450-7791
Fax Number
Provider Enumeration Date
03/29/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1215 E Michigan Ave
City
Lansing
State
Michigan
Zip
48912-1811
Phone Number
630-450-7791
Fax Number
person
Provider Business Mailing Address Details
Address
1215 E Michigan Ave
City
Lansing
State
Michigan
Zip
48912-1811
Phone Number
630-450-7791
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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