Randall Scott Brandt in Mauston - Physician Assistant
Randall Scott Brandt - NPI 1710978754
Randall Scott Brandt is a Physician Assistant in Mauston, Wisconsin. Randall Scott Brandt practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Randall Scott Brandt is 1710978754. The last update date is 2007-07-08.
Randall Scott Brandt's current location address is 1040 Division St, Mauston, Wisconsin. You can contact this provider via phone number 6088475000. The mailing address for Randall Scott Brandt is 1040 Division St, Mauston, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall Scott Brandt |
|---|---|
| Address | 1040 Division St, Mauston, Wisconsin |
| Phone Number | 6088475000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1710978754 |
|---|---|
| Provider Enumeration Date | 2005-10-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1040 Division St |
|---|---|
| City | Mauston |
| State | Wisconsin (WI) |
| Post Code | 539481931 |
| Phone Number | 6088475000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 844 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42957900 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Randall Scott Brandt by the Centers for Medicare & Medicaid Services?
The Randall Scott Brandt has been issued the NPI (National Provider Identifier) 1710978754 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Randall Scott Brandt is located?
The Randall Scott Brandt is situated at the following address: 1040 Division St, Mauston, WI, 539481931.
What is Randall Scott Brandt's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Randall Scott Brandt is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date was the 1710978754 assigned to Randall Scott Brandt?
The Randall Scott Brandt was issued its 1710978754 on 2005-10-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Randall Scott Brandt's information last updated?
The Randall Scott Brandt's information was last updated on 2007-07-08.