Brandon Douglass

NPI #1639626609 in Hillsdale, Michigan

Provider Information

NPI Number: 1639626609
Entity Type: Individual
Name: Brandon Douglass
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Sep 7, 2016
Last Updated: Sep 7, 2016

Practice Location

Address: 3271 W CARLETON RD
City: Hillsdale
State: Michigan
ZIP Code: 49242-9458
Phone: (517) 437-3879

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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