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NPI Code Detail

MEDICARE: DR. RICHARD ARTHUR BRANDNER M.D.

MEDICARE: DR. RICHARD ARTHUR BRANDNER M.D.
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
1207Q00000XFamily Medicine Physician19956WI

General Provider Information

NPI Number : 1598954398
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD ARTHUR BRANDNER M.D.
Provider Business Mailing Address
First Line : 400 WEST GLEN ST
Second Line :
City : CRANDON
State : WI
Zip : 54520-1355
Country : US
Telephone Number : 715-478-3318
Fax Number :
Provider Business Practice Location Address
First Line : 3144 VANZILE RD
Second Line :
City : CRANDON
State : WI
Zip : 54520-8149
Country : US
Telephone Number : 715-478-5180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2007
Last Update Date : 09/08/2022

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