Brandt, Gwen Marie

Brandt, Gwen Marie is an individual health care provider with primary practice located at 200 Jefferson Se Ste 549, Grand Rapids MI 49503. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Brandt, Gwen Marie can be contacted via phone (616) 685-1835.

Contact Information

Primary practice address
200 Jefferson Se Ste 549 Grand Rapids MI 49503
Phone: (616) 685-1835
Fax: (616) 685-1846
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301085852 Michigan
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 4301085852 Michigan

Profile Details

NPI number 1316093529
LBN Legal business name Brandt, Gwen Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2007
Last updated Jun 14th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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