Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKE BRANNICK
Active Sole ProprietorBLAKE BRANNICK is a Foot & Ankle Surgery Podiatrist healthcare provider located in JACKSON, Michigan. NPI 1164873527 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · JACKSON, MI
Registration Details
- NPI Number
- 1164873527
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2016 (10.106485495148 yrs)
- Last Updated
- Aug 20, 2019
- License
-
5901002806 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3333 SPRING ARBOR RD STE 200JACKSON, MI, 492038622Browse MI providers · Browse ZIP 49203
- Phone
- 5172052143
- Fax
- 5172050143
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
Other Foot & Ankle Surgery Podiatrist Providers in JACKSON, MI
| Name | Credential | NPI |
|---|---|---|
| DR. GRANT EVAN WIIG | DPM | 1770607293 |
| DR. JOHN MICHAEL VOULGARIS | DPM | 1063536597 |
| DR. MATHEW ALAN PAGE | DPM | 1710002886 |
| DR. VAISHNAVI SEKAR BAWA | DPM | 1619317310 |
| MRS. KATHRYN ZWECK | DPM | 1225657026 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.