Provider Demographics
NPI:1295113488
Name:MILBRANDT, MARLEE
Entity type:Individual
Prefix:
First Name:MARLEE
Middle Name:
Last Name:MILBRANDT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 WOODARD ST
Mailing Address - Street 2:
Mailing Address - City:OAKLEY
Mailing Address - State:MI
Mailing Address - Zip Code:48649-9778
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:411 WOODARD ST
Practice Address - Street 2:
Practice Address - City:OAKLEY
Practice Address - State:MI
Practice Address - Zip Code:48649-9778
Practice Address - Country:US
Practice Address - Phone:989-666-5753
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-08
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program