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Brandon Michael Lundgren
Medical Physician Assistant in Saratoga Springs, New York
NPI 1790040798

Brandon Michael Lundgren is a Medical Physician Assistant based in Saratoga Springs, NY and is specialized in Medical. Brandon Michael Lundgren practices in Saratoga Springs, NY. The NPI Number for Brandon Michael Lundgren is 1790040798 and holds a License No. 015656-1 (New York).

The current practice location address for Brandon Michael Lundgren is 211 Church St, Saratoga Springs, NY and can be reached out via phone at 518-587-1141.

Location: 211 Church St, Saratoga Springs, NY, 12866-1090
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790040798
Provider Name
Brandon Michael Lundgren
Credential
Provider Entity Type
Individual
Gender
Male
Address
211 Church St, Saratoga Springs, NY, 12866-1090
Phone Number
518-587-1141
Fax Number
Provider Enumeration Date
07/06/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
211 Church St
City
Saratoga Springs
State
New York
Zip
12866
Phone Number
518-587-1141
Fax Number
person
Provider Business Mailing Address Details
Address
211 Church St
City
Saratoga Springs
State
New York
Zip
12866
Phone Number
518-587-1141
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
015656-1 (New York)
Definition
Definition to come...
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