Brandau, David R

Brandau, David R is an individual health care provider with primary practice located at 4151 Holiday St Nw , Canton OH 44718-2531. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Brandau, David R can be contacted via phone (330) 492-8001.

Contact Information

Primary practice address
4151 Holiday St Nw Canton OH 44718-2531
Phone: (330) 492-8001
Fax: (330) 492-2080
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35039711 Ohio
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35-039711 Ohio

Profile Details

NPI number 1154317840
LBN Legal business name Brandau, David R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Oct 1st, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154317840 NPPES
Ohio MEDICAID O426391

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