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1841687068
BRANDON TRIVAX
ROYAL OAK, MI
NPI
1841687068
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine
(Licence: OH 58.030743)
Enumeration Date
2015-04-26
Last Update Date
2022-12-13
Business Address
BRANDON TRIVAX D.O.
3535 W 13 MILE RD STE 437
ROYAL OAK, MI 48073-6770
Phone number: 248-288-2210
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Mailing Address
BRANDON TRIVAX D.O.
2500 METROHEALTH DR
CLEVELAND, OH 44109-1900
Phone number:
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