Merrilee R Brandt MD PC
Organization Active NPI Specialist · East Tawas, MI
NPI 1508979667 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1508979667
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 4301 MB064187 (MI)
- Legal business name
- MERRILEE R BRANDT MD PC
- Practice address
- 110 E State St
East Tawas, MI 48730-1328 - Phone
- (989) 362-1273
- Fax
- (989) 362-2343
- NPI assigned
- Aug 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Patti Andersen
- Title
- Billing Manager
- Phone
- (989) 362-1273
Practitioners 1
-
Merrilee R Brandt, M.D.
National Provider Directory
Locations
110 E State St
East Tawas, MI 48730
Phone (989) 362-1273
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 4301 MB064187 | MI | Yes |
Addresses
Primary practice location
110 E State St
East Tawas, MI 48730-1328
Mailing address
110 E State St
East Tawas, MI 48730-1328
Phone (989) 362-1273
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4263135 | Medicaid | MI |
Other providers in East Tawas, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.