Most Relevant Information
Provider Data
| NPI Number: | 1003277674 |
| Provider Name: | BRENDEN ARIAS TUDOR LLPC, AT |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | 2601001963 |
Most Important Dates
| Enumeration Date: | 03/10/2016 |
| Last Updated: | 11/16/2020 |
Provider Practice Location
1611 OAK AVE
MUSKEGON
MI
494422468
Practice Location Phone/Fax
| Phone: | 2317671921 |
| Fax: |
Provider Mailing Location
1611 OAK AVE
MUSKEGON
MI
494422468
Provider Mailing Phone/Fax
| Phone: | 2317671921 |
| Fax: |