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1336168137
JON MARC BRANDT
GREEN BAY, WI
NPI
1336168137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2080P0207X Pediatrics, Pediatric Hematology-Oncology
(Licence: WI 40681)
Enumeration Date
2006-07-19
Last Update Date
2024-12-04
Business Address
JON MARC BRANDT MD
835 S VAN BUREN ST
GREEN BAY, WI 54301-3526
Phone number: 920-496-4700
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Mailing Address
JON MARC BRANDT MD
644 S JACKSON ST
GREEN BAY, WI 54301-3512
Phone number: 920-621-1362
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