Evan Brandenburg
Evan Brandenburg is a Student in an Organized Health Care Education/Training Program in Dayton, Ohio. Licensed in Ohio. Registered with an NPI since 2025.
- Licensed in
- OH
- In the registry since
- 2025
Practice location Address checks out
30 E Apple St Ste 6258Dayton, OH 45409-2932
Phone: (937) 208-8000
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence 57.258989 (OH) |
|---|
Record details
| NPI number | 1063202216 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 10, 2025 |
| Last updated in NPPES | May 14, 2025 |
| Certification date | May 14, 2025 |
| Mailing address | 30 E Apple St Ste 6258, Dayton, OH 45409-2932 |
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Hailey Theresa Brenner
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