Healthcare Provider Details

I. General information

NPI: 1376579029
Provider Name (Legal Business Name): TOWNSHIP OF BRANDON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 09/19/2024
Certification Date: 09/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 SOUTH ST
ORTONVILLE MI
48462-8530
US

IV. Provider business mailing address

53 SOUTH ST
ORTONVILLE MI
48462-8530
US

V. Phone/Fax

Practice location:
  • Phone: 248-627-4000
  • Fax: 248-627-3181
Mailing address:
  • Phone: 248-627-4000
  • Fax: 248-627-3181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number631032
License Number StateMI

VIII. Authorized Official

Name: MR. DAVID KWAPIS
Title or Position: FIRE CHIEF
Credential:
Phone: 248-627-4000