MEDICARE: DR. JOANNA G BRANSTETTER MD

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
1	207X00000X	Orthopaedic Surgery Physician	MD60085928	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669462503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOANNA G BRANSTETTER MD

Provider Business Mailing Address
First Line	:	1608 S J ST FL 4
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98405-4930
Country	:	US
Telephone Number	:	253-274-7504
Fax Number	:	253-274-7994

Provider Business Practice Location Address
First Line	:	1608 S J ST FL 4
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98405-4930
Country	:	US
Telephone Number	:	253-274-7504
Fax Number	:	253-274-7994

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2005
Last Update Date	:	01/04/2024

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