Dr MICHELE D BRANNAN PA is a female medical professional, specializing in Physician Assistant. She graduated in 2003.
FAIRVIEW HEIGHTS MEDICAL GROUP SC
2 MEMORIAL DR
ALTON
IL
620026723
Tel:
| Npi | 1083621452 |
| Pac Id | 8022057066 |
| Professional Enrollment Id | I20050428000599 |
| Last Name | BRANNAN |
| First Name | MICHELE |
| Middle Name | D |
| Suffix | |
| Gender | F |
| Credential | PA |
| Medical School Name | OTHER |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | FAIRVIEW HEIGHTS MEDICAL GROUP SC |
| Group Practice Pac Id | 6800784083 |
| Number Of Group Practice Members | 206 |
| Line 1 Street Address | 2 MEMORIAL DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | ALTON |
| State | IL |
| Zip Code | 620026723 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 140052 |
| Hospital Affiliation Lbn 1 | OSF SAINT ANTHONY'S HEALTH CENTER |
| Hospital Affiliation Ccn 2 | 141306 |
| Hospital Affiliation Lbn 2 | COMMUNITY MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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