Jon Marc Brandt
MD | Pediatric Hematology-Oncology | Male
Jon Marc Brandt, MD is a Marshfield, Wisconsin based Pediatric doctor with medical specialization in
Pediatric Hematology-Oncology.
Current practice location of Jon Marc Brandt is
1000 N Oak Ave, Marshfield, Wisconsin - 54449-5703. He can be contacted on phone at
715-387-5511.
Jon Marc Brandt is a sole proprietor of his business.
NPI number (Unique professional ID) for Jon Marc Brandt is
1336168137 which was assigned by NPPES on 19 Jul, 2006 and it was last updated on 23 Jan, 2023.
Jon Marc Brandt license number is
40681 for Pediatrics, Pediatric Hematology-Oncology (2080P0207X) in Wisconsin.
Jon Marc Brandt is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Jon Marc Brandt basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Hematology-Oncology |
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| Provider Name : | Jon Marc Brandt |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Jon Marc Brandt address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1000 N Oak Ave
Marshfield, WI, 54449-5703
United States |
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| Phone Number : | 715-387-5511 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1336168137 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 Jul, 2006 |
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| Last Updated On : | 23 Jan, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jon Marc Brandt are as mentioned. Primary taxonomy code for Jon Marc Brandt, MD is
2080P0207X (Pediatrics, Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0207X | Pediatrics, Pediatric Hematology-Oncology | No | MED-PHYS-LIC-102822 | MT |
| 2080P0207X | Pediatrics, Pediatric Hematology-Oncology | No | 4301075635 | MI |
| 2080P0207X | Pediatrics, Pediatric Hematology-Oncology | Yes | 40681 | WI |
Legacy Identifiers:
Other legacy medical identifiers of Jon Marc Brandt such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 07125-0132 | MEDICARE ID-Type Unspecified | | |
| 32507900 | MEDICARE ID-Type Unspecified | WI | |
| G86057 | MEDICARE UPIN | | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
835 S VAN BUREN ST,
GREEN BAY, WI, 54301-3526
United States | GREEN BAY, WI | 920-496-4700 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | him@marshfieldclinichealthsystem.cernerdirect.com
email | No affiliation |
|
| Marshfield Clinic, 1000 north oak avenue
marshfield, WI, 54449-5703
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1000 N Oak Ave
Marshfield, WI, 54449-5703
United States |
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| Phone Number : | 715-387-5511 |
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Business Location:
Patients can refer following map for directions to
Jon Marc Brandt practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.