Brandon Michael Theriault, DO
NPI #1144970369 in Clinton Township, Michigan
Provider Information
- NPI Number
- 1144970369
- Entity Type
- Individual
- Name
- Brandon Michael Theriault, DO
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Internal Medicine
- Credential
- DO
- Enumeration Date
- Mar 29, 2022
- Last Updated
- Apr 29, 2022
Practice Location
- Address
- 36500 S GRATIOT AVE STE 102
- City
- Clinton Township
- State
- Michigan
- ZIP Code
- 48035-1772
- Phone
- (586) 790-9003
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Internal Medicine |
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