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NPI Code Detail

MEDICARE: BRANDON MICHAEL CHEHAK

MEDICARE: BRANDON MICHAEL CHEHAK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1033090196
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDON MICHAEL CHEHAK
Provider Business Mailing Address
First Line : 2217 UNIVERSITY AVE APT 1
Second Line :
City : MADISON
State : WI
Zip : 53726-3859
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 LINCOLN DR
Second Line :
City : MADISON
State : WI
Zip : 53706-1314
Country : US
Telephone Number : 608-263-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2025
Last Update Date : 09/08/2025

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Directions to “ BRANDON MICHAEL CHEHAK ” Practice Location

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