Healthcare Provider Details

I. General information

NPI: 1215867601
Provider Name (Legal Business Name): MICHAEL FRANK BURANDT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 N ESTRELLA PKWY STE C1
GOODYEAR AZ
85338-4138
US

IV. Provider business mailing address

530 N ESTRELLA PKWY STE C1
GOODYEAR AZ
85338-4138
US

V. Phone/Fax

Practice location:
  • Phone: 623-932-9211
  • Fax:
Mailing address:
  • Phone: 623-932-9211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number9421
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: