SearchMichigan363AM0700X

Brandy Blackston, PA-C

NPI 1790158392 · on the registry since 2015 · sole proprietor

Practice

Address
27901 Woodward Ave Ste 300
Berkley, MI 48072
Phone
(248) 545-0070
Fax
(248) 545-4850
Organisation at this address
Sanjay Dogra Md Pllc
Abdulgadir Adam Md Pllc
Chau Plastic Surgery Pc
Asadulla Mohammed Md Pc
Cardiology Associates Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
41

Additional practice sites

  • 16800 W 12 Mile Rd Ste 102, Southfield, MI

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan