person
Mrs. Brandy Blackston, PA-C
Medical Physician Assistant in Berkley, Michigan
NPI 1790158392

Brandy Blackston is a Medical Physician Assistant based in Southfield, MI and is specialized in Medical. Brandy Blackston practices in Berkley, MI and has the professional credentials of PA-C. The NPI Number for Brandy Blackston is 1790158392 and holds a License No. 5601007562 (Michigan).

The current practice location address for Brandy Blackston is 27901 Woodward Ave Ste 300, Berkley, MI and can be reached out via phone at 248-545-0070 and via fax at 248-545-4850.

Location: 27901 Woodward Ave Ste 300, Berkley, MI, 48033-3849
person
Provider Profile Details
NPI Number
1790158392
Provider Name
Brandy Blackston
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
27901 Woodward Ave Ste 300, Berkley, MI, 48033-3849
Phone Number
248-545-0070
Fax Number
248-545-4850
Provider Enumeration Date
11/04/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
27901 Woodward Ave Ste 300
City
State
Zip
48072-0921
Phone Number
248-545-0070
Fax Number
248-545-4850
person
Provider Business Mailing Address Details
Address
27901 Woodward Ave Ste 300
City
State
Zip
48072-0921
Phone Number
248-545-0070
Fax Number
248-545-4850
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601007562 (Michigan)
Definition
Definition to come...
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