BRANDY BLACKSTON

BERKLEY, MI
NPI1790158392
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MI  5601007562)
Enumeration Date2015-11-04
Last Update Date2022-07-22
Business Address
Mrs. BRANDY BLACKSTON PA-C
27901 WOODWARD AVE STE 300
BERKLEY, MI 48072-0921
Phone number: 248-545-0070
Mailing Address
Mrs. BRANDY BLACKSTON PA-C
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 48033-3849
Phone number: 947-522-1865