Brandon David Ahlgren, MD is a
Student In An Organized Health Care Education/training Program physician based in Detroit, Michigan. Brandon David Ahlgren is licensed to practice in * (Not Available) (license number ) and his current practice location is 4201 Saint Antoine St # 4h, Detroit, Michigan. He can be reached at his office (for appointments etc.) via phone at
(248) 860-1568.
NPI number for Brandon David Ahlgren is 1700415874 and his current mailing address is 4201 Saint Antoine St # 4h, Detroit, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700415874.
Physician's Profile
| Full Name | Brandon David Ahlgren |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 4201 Saint Antoine St # 4h, Detroit, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1700415874
- Provider Enumeration Date: 04/02/2020
- Last Update Date: 10/06/2023
Medical Identifiers
Medical identifiers for Brandon David Ahlgren such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700415874 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RR0500X | Internal Medicine - Rheumatology | 4351051545 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brandon David Ahlgren is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brandon David Ahlgren, MD
4201 Saint Antoine St # 4h,
Detroit, MI 48201-2153
Ph: () - | Brandon David Ahlgren, MD
4201 Saint Antoine St # 4h,
Detroit, MI 48201-2153
Ph: (248) 860-1568 |
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