Provider Demographics
NPI:1558649194
Name:BRAMMER, MELISSA GARIG (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:GARIG
Last Name:BRAMMER
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 DNA WAY
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-4918
Mailing Address - Country:US
Mailing Address - Phone:650-467-7700
Mailing Address - Fax:
Practice Address - Street 1:1 DNA WAY
Practice Address - Street 2:
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-4918
Practice Address - Country:US
Practice Address - Phone:650-467-7700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-01
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA015765207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA015765OtherBOARD OF MEDICAL EXAMINERS