Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 031588 | CT |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 031588 | CT |
NPI | 1144257288 |
---|---|
Provider Name | Dr. Michael Brand |
First Address | Danbury, CT 06810-6268 |
Second Address | Danbury, CT 06810-6814 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2006 |
Last Update Date | 11/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E14030 | (02) |