Brandon J Manderle, MD

NPI #1013576271 in Portage, Michigan

Provider Information

NPI Number: 1013576271
Entity Type: Individual
Name: Brandon J Manderle, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 11, 2019
Last Updated: Jul 27, 2022

Practice Location

Address: 2700 E CENTRE AVE
City: Portage
State: Michigan
ZIP Code: 49002-5500
Phone: (269) 286-7050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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