Provider Demographics
NPI:1972043859
Name:BRANT, NORMAN H (DPM)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:H
Last Name:BRANT
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6700 HALYARD RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48301-2815
Mailing Address - Country:US
Mailing Address - Phone:248-737-8847
Mailing Address - Fax:248-626-4572
Practice Address - Street 1:6700 HALYARD RD
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48301-2815
Practice Address - Country:US
Practice Address - Phone:248-737-8847
Practice Address - Fax:248-626-4572
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-27
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI590100780213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist