Provider Demographics
NPI:1497026306
Name:MEGLER, BRANKA DJ (MD)
Entity Type:Individual
Prefix:DR
First Name:BRANKA
Middle Name:DJ
Last Name:MEGLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 ALGER PL
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48230-1908
Mailing Address - Country:US
Mailing Address - Phone:313-343-0267
Mailing Address - Fax:
Practice Address - Street 1:1 ALGER PL
Practice Address - Street 2:
Practice Address - City:GROSSE POINTE
Practice Address - State:MI
Practice Address - Zip Code:48230-1908
Practice Address - Country:US
Practice Address - Phone:313-343-0267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-24
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301031428207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology