Individual provider · Type 1 NPI

Brandon Michael Lundgren

Medical Physician Assistant · Saratoga Springs, NY

NPI number 1790040798 Active

Practice location

211 Church St
Saratoga Springs, NY 12866

Call (518) 587-1141 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X015656-1 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1790040798

Brandon Michael Lundgren's National Provider Identifier is 1790040798, issued on Jul 6, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Saratoga Springs, NY. The record was last updated on Jul 5, 2018.