Provider Demographics
NPI:1346560182
Name:BRANDAU, ANTHONY JAMES (DO)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:JAMES
Last Name:BRANDAU
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1550 WATERTOWER PL STE 500
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-8053
Mailing Address - Country:US
Mailing Address - Phone:517-333-6060
Mailing Address - Fax:517-333-6068
Practice Address - Street 1:1550 WATERTOWER PL STE 500
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-8053
Practice Address - Country:US
Practice Address - Phone:517-333-6060
Practice Address - Fax:517-333-6068
Is Sole Proprietor?:No
Enumeration Date:2010-06-03
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101018647207RH0003X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology