Healthcare Provider Details

I. General information

NPI: 1942117502
Provider Name (Legal Business Name): JOSEPH ANDREW MILBRANDT PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 N US HIGHWAY 31
PETOSKEY MI
49770-9317
US

IV. Provider business mailing address

149 BALSAM AVE APT 4
PETOSKEY MI
49770-2445
US

V. Phone/Fax

Practice location:
  • Phone: 231-348-7510
  • Fax:
Mailing address:
  • Phone: 217-303-4304
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302419219
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: