Individual provider · Type 1 NPI
Mary Alicia Brandt
Technician/Technologist · Novi, MI
NPI number
1114445343
Active
Practice location
41521 W 11 Mile Rd
Novi, MI 48375-1803
Mailing address
32100 Telegraph Rd Ste 205
Bingham Farms, MI 48025-2454
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Technician/Technologist Primary | 156F00000X | None listed |
Technician/Technologist: A broad category grouping different kinds of technologists and technicians. See individual definitions.
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About NPI 1114445343
Mary Alicia Brandt's National Provider Identifier is 1114445343, issued on Sep 8, 2017. The primary taxonomy on file is Technician/Technologist (156F00000X), and the practice location is in Novi, MI. The record was last updated on Oct 8, 2018.