Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRANDON GIBSON, DPT
Active Sole ProprietorGeneral Acute Care Hospital · ANTIGO, WI
Registration Details
- NPI Number
- 1841952801
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 7, 2021 (4.5377125277336 yrs)
- Last Updated
- Feb 18, 2022
- License
-
5501020235 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
112 E 5TH AVEANTIGO, WI, 544092710Browse WI providers · Browse ZIP 54409
- Phone
- 7156239449
- Primary Specialty
-
General Acute Care Hospital
282N00000X
- Additional Specialty
- General Acute Care Hospital
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.