Brandon J Burgess
Brandon J Burgess is a Student in an Organized Health Care Education/Training Program in Grand Rapids, Michigan. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
1101 Ball Ave NEGrand Rapids, MI 49505-5904
Phone: (616) 456-6571
Fax: (616) 774-2044
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1346899002 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 5, 2019 |
| Last updated in NPPES | September 5, 2019 |
| Mailing address | 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 |
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