BRANDON J CHURCHMAN

GRAND RAPIDS, MI
NPI1548423015
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MI  2901022201)
Additional Taxonomies363A00000X Physician Assistant
(Licence: MI  5691005799)
Enumeration Date2008-07-05
Last Update Date2025-09-03
Business Address
-- BRANDON J CHURCHMAN PA-C, DDS
3737 LAKE EASTBROOK BLVD SE STE 212
GRAND RAPIDS, MI 49546-5989
Phone number: 616-258-1473
Mailing Address
-- BRANDON J CHURCHMAN PA-C, DDS
3737 LAKE EASTBROOK BLVD SE STE 212
GRAND RAPIDS, MI 49546-5989
Phone number: 616-258-1473