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1477246353
BRANDON PROCHAZKA
EAST LANSING, MI
NPI
1477246353
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MI 5151016328)
Enumeration Date
2023-05-29
Last Update Date
2023-05-29
Business Address
BRANDON PROCHAZKA
965 WILSON RD RM A233
EAST LANSING, MI 48824-6410
Phone number: 517-353-4362
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Mailing Address
BRANDON PROCHAZKA
2287 STONEHEDGE DR APT E
EAST LANSING, MI 48823-7357
Phone number:
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