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NPI Code Detail

MEDICARE: BARBARANNE BRANCA PHD

MEDICARE:   BARBARANNE  BRANCA  PHD
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
1103G00000XClinical Neuropsychologist6301007130MI

General Provider Information

NPI Number : 1407949381
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARANNE BRANCA PHD
Provider Business Mailing Address
First Line : 3120 PROFESSIONAL DR
Second Line :
City : ANN ARBOR
State : MI
Zip : 48104-5131
Country : US
Telephone Number : 734-677-6000
Fax Number : 734-677-2422
Provider Business Practice Location Address
First Line : 3120 PROFESSIONAL DR
Second Line :
City : ANN ARBOR
State : MI
Zip : 48104-5131
Country : US
Telephone Number : 734-677-6000
Fax Number : 734-677-2422
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 09/08/2008

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Directions to “ BARBARANNE BRANCA PHD” Practice Location

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