Individual provider · Type 1 NPI

Brandon J. Burgess

Student in an Organized Health Care Education/Training Program · Grand Rapids, MI

NPI number 1346899002 Active

Practice location

1101 Ball Ave NE
Grand Rapids, MI 49505-5904

Call (616) 456-6571 Map

Fax (616) 774-2044

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1346899002

Brandon J. Burgess's National Provider Identifier is 1346899002, issued on Sep 5, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 5, 2019.