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1427805928
BRANDON DOUGLAS PRENTICE
ROYAL OAK, MI
NPI
1427805928
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: MI 4351052691)
Enumeration Date
2024-05-02
Last Update Date
2024-05-02
Business Address
BRANDON DOUGLAS PRENTICE
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number: 248-898-2673
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Mailing Address
BRANDON DOUGLAS PRENTICE
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number:
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