Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0105X | Surgery of the Hand | 3478 | AK |
N | 2086S0122X | Plastic and Reconstructive Surgery | 3478 | AK |
NPI | 1639222425 |
---|---|
Provider Name | Dr. Michael D Brandner |
First Address | Anchorage, AK 99523-2711 |
Second Address | Anchorage, AK 99508 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D25186 | (02) | |
MD3478 | (05) | AK |