| Doctor Name: | DR. BRANDON A WEST |
| NPI Number: | 1801080650 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM JD |
| License Number: | BW001378 |
| Business Practice Address: | 1266 S Commerce Rd Walled Lake, MI - 483903008 |
| Business Phone Number: | 2486241900 |
| Business Fax Number: | |
| Mailing Address: | 21120 Constitution St, SOUTHFIELD |
| State: | MI |
| Postal Code: | 480765509 |
| Phone Number: | 2486241900 |
| Fax Number: | |
| NPI Enumeration Date: | 09/04/2007 |
| NPI Last Update Date: | 09/04/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | BW001378 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |