Provider Demographics
NPI:1356143671
Name:MION, BRANDON REMO (CHW, CPSS)
Entity type:Individual
Prefix:MR
First Name:BRANDON
Middle Name:REMO
Last Name:MION
Suffix:
Gender:
Credentials:CHW, CPSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3946 REMEMBRANCE RD NW
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49534-2236
Mailing Address - Country:US
Mailing Address - Phone:269-303-6979
Mailing Address - Fax:
Practice Address - Street 1:3946 REMEMBRANCE RD NW
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49534-2236
Practice Address - Country:US
Practice Address - Phone:269-303-6979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist