Gwen Marie Brandt in Grand Rapids - Geriatric Medicine
Gwen Marie Brandt - NPI 1316093529
Gwen Marie Brandt is a Geriatric Medicine in Grand Rapids, Michigan. Gwen Marie Brandt practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Gwen Marie Brandt is 1316093529. The last update date is 2011-06-14.
Gwen Marie Brandt's current location address is 200 Jefferson Se, Grand Rapids, Michigan. You can contact this provider via phone number 6166851835 and fax number 6166851846. The mailing address for Gwen Marie Brandt is 200 Jefferson Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gwen Marie Brandt |
|---|---|
| Address | 200 Jefferson Se, Grand Rapids, Michigan |
| Phone Number | 6166851835 |
| Fax Number | 6166851846 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1316093529 |
|---|---|
| Provider Enumeration Date | 2007-01-28 |
| Last Updated Date | 2011-06-14 |
Provider Mailing Address Detail
| Address | 200 Jefferson Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495030 |
| Phone Number | 6166851835 |
| Fax Number | 6166851846 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Qg0300X |
| Licence No | 4301085852 |
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Definition: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's |
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What is the unique identifier code issued to Gwen Marie Brandt by the Centers for Medicare & Medicaid Services (CMS)?
The Gwen Marie Brandt has been assigned the NPI (National Provider Identifier) 1316093529. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Gwen Marie Brandt's physical address?
The Gwen Marie Brandt is physically located at 200 Jefferson Se, in the city of Grand Rapids, MI, with the postal code 495030.
What is Gwen Marie Brandt's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gwen Marie Brandt is Geriatric Medicine, and the taxonomy code that classifies this field of practice is 207Qg0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1316093529 to Gwen Marie Brandt?
The Centers for Medicare & Medicaid Services originally issued the 1316093529 to Gwen Marie Brandt on 2007-01-28.
As of what date was the information regarding Gwen Marie Brandt, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gwen Marie Brandt, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-06-14.
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