NPI 1700199171

Michael Brandt, MD

Practitioner Otolaryngology Physician Livonia, MI

Practice location

Address: 19900 Haggerty Rd Suite 103, Livonia, MI 48152-1054
Phone: (734) 432-7634
Mailing address: 3621 S State St 700 Kms Place, Ann Arbor, MI 48108

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 4301095791 (MI)

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Registry record

NPI: 1700199171
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jul 2010
Record last updated: 23 Feb 2012

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.