NPI 1023015682

Roberta Wright Brandt, MSPAC

Practitioner Physician Assistant Jackson, MI

Practice location

Address: 544 Wildwood Ave, Jackson, MI 49201-1013
Phone: (517) 780-0838
Fax: (517) 780-0689
Mailing address: 505 N Jackson St, Jackson, MI 49201-1266

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5601003939 (MI)

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Registry record

NPI: 1023015682
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jun 2005
Record last updated: 28 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.