MR. MICHAEL ALLEN BRANDT


Address: 304 Pokegama Ave N, Grand Rapids, MN 55744
Phone: 2183262635

MR. MICHAEL ALLEN BRANDT (NPI# 1093827990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093827990
Entity Type Individual
Full Name MR. MICHAEL ALLEN BRANDT
Credential RPH
Practice Address 304 Pokegama Ave N
Grand Rapids
MN 55744
Mailing Address Po Box 966
124 Eagle Point Rd
Coleraine
MN 55722-0966
Practice Telephone 2183262635
Practice Fax Number 2183262526
Mailing Telephone 2182452241
Mailing Fax Number 2183262526
Enumeration Date 2006-08-31
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 116223-5 MN Pharmacy Service Providers

Other Providers MICHAEL BRANDT

NPI Name Taxonomy Address Enumeration
1205885423 Michael M Brandt Nurse Anesthetist, Certified Registered 13984 W Woodbridge Ave, Goodyear, AZ 85395-1485 2006-05-06
1700199171 Michael Brandt Otolaryngology 19900 Haggerty Rd, Suite 103, Livonia, MI 48152-1054 2010-07-14
1699702803 Michael John Brandt Psychologist 500 E Veterans St, Tomah, WI 54660-3105 2006-06-26
1356331722 Michael L Brandt Pharmacist 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2005-10-26

Office Location

Street Address 304 POKEGAMA AVE N
City GRAND RAPIDS
State MN
Zip Code 55744

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1821631391 Patrice Marie Curtiss Technician 23792 Winckler Road, Grand Rapids, MN 55744 2019-10-28
1578117438 Christina Marie Hubred Advanced Practice Dental Therapist Miskovich Dental Clinic, 1121 Se 4th Avenue, Grand Rapids, MN 55744 2019-07-30
1780081877 Fcsl Grand Rapids, LLC Assisted Living Facility 949 1/2 Sw 11th Street, Grand Rapids, MN 55744 2014-12-04
1912311333 Doctor V LLC Psychologist 2002 Cromell Drive, Hope House of Itasca County, Laprairie, MN 55744 2014-06-13
1104244987 Linda Reinen-thompson Contractor 34307 Hwy. 38, Grand Rapids, MN 55744 2014-03-31
1275883266 Lana Rae Jacobson Registered Nurse 1401 Nw 9th Street, Grand Rapids, MN 55744 2012-09-17
1518252048 David Allen Griggs Pharmacist 2140 S.pokegama Ave., T-0904, Target, Grand Rapids, MN 55744 2011-06-13
1447575063 Kelly Ann Shermoen Pharmacist 18 Se 10th Street, Grand Rapids, MN 55744 2010-04-07
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164031860 Jerika Nguyen Pharmacist 525 Clancy Ave Ne Apt 120, Grand Rapids, MI 49503-1843 2020-07-28
1063045177 Kristen Buthker Pharmacist 1021 Alpine Ave Nw, Grand Rapids, MI 49504-4139 2020-02-17
1124667258 Grant Lawson Beach Pharmacist 201 Michigan St Nw Apt 910, Grand Rapids, MI 49503-2330 2020-01-07
1821562844 Catherine Formalejo Padogdog Pharmacist 2051 Ridgecrest Rd Se Apt 7, Grand Rapids, MI 49546-4321 2019-01-12
1386151660 Brett Donald Jenkins Pharmacist 3326 Weatherford Dr Nw Apt 3a, Grand Rapids, MI 49544-6966 2018-01-08
1326568296 Sarah Ann Kauffman Pharmacist 360 Division Ave S Ste 1a, Grand Rapids, MI 49503-4501 2017-06-22
1760920698 Heidi Catherine Stultz-griffey Pharmacist 970 4 Mile Rd Nw Apt 1d, Grand Rapids, MI 49544 2017-02-12
1235585456 Kirsten Hayes Pharmacist 510 College Ave Ne Apt 215, Grand Rapids, MI 49503-1770 2016-05-06
1740649201 Robert Matthew Granett Pharmacist 200 Jefferson Ave Se # See, Grand Rapids, MI 49503-4502 2016-02-12
1386000420 Samantha Shifman Pharmacist 555 7th St Nw, Apt. 208, Grand Rapids, MI 49504-5213 2016-01-05
Find all providers in GRAND RAPIDS

Competitor

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City GRAND RAPIDS
Zip Code 55744

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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