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Mr. Matthew Brandow, AUDIOLOGIST
Specialist in Negaunee, Michigan
NPI 1912068305

Matthew Brandow is a Specialist based in Ishpeming, MI. Matthew Brandow practices in Negaunee, MI and has the professional credentials of AUDIOLOGIST. The NPI Number for Matthew Brandow is 1912068305 and holds a License No. 1601000055 (Michigan).

The current practice location address for Matthew Brandow is 100 Malton St, Negaunee, MI and can be reached out via phone at 906-475-7422 and via fax at 906-486-6898.

Location: 100 Malton St, Negaunee, MI, 49849-0260
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912068305
Provider Name
Matthew Brandow
Credential
AUDIOLOGIST
Provider Entity Type
Individual
Gender
Male
Address
100 Malton St, Negaunee, MI, 49849-0260
Phone Number
906-475-7422
Fax Number
906-486-6898
Provider Enumeration Date
12/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00110878 01 MI RRMEDICARE
540E210323 01 MI BCBS LICENSE
405176011 05 MI
904543700 05 MI
640E210300 01 MI BCBS LICENSE
institution
Provider Business Practice Location Address Details
Address
100 Malton St
City
Negaunee
State
Michigan
Zip
49866-2001
Phone Number
906-475-7422
Fax Number
906-486-6898
person
Provider Business Mailing Address Details
Address
100 Malton St
City
Negaunee
State
Michigan
Zip
49866-2001
Phone Number
906-475-7422
Fax Number
906-486-6898
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
1601000055 (Michigan)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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