Laurie S Braker MD

NPI 1073624573 - Family Medicine - 207Q00000X

NPI Details
NPI 1073624573
Gender Female
Enumeration Date 08/31/2006
Last Updated 01/14/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
4294 LAUREL DR
LAKE ODESSA MI, 48849-8430, US
Phone (616) 374-7660
Fax (616) 374-0270
Business Location
100 MICHIGAN ST NE # MC845
GRAND RAPIDS MI, 49503-2560, US
Phone (616) 486-6790
Fax (269) 948-3117
Toxanomy
Taxonomy Code 207Q00000X
License State Michigan
License Number 4301080130
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According to our database, Dr. Laurie S Braker MD NPI is 1073624573, taxonomy code is 207Q00000X and license number is 4301080130, license state is located at Michigan. Laurie S Braker MD physically located at 4294 Laurel Dr, Lake Odessa MI, 48849-8430. NPI Number Laurie S Braker MD has the Individual type.

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1073624573 NPI number is provided on an as is basis without warranty of any kind. 1073624573 is maintained by the National Plan & Provider Enumeration System. The contents of Laurie S Braker MD are for informational purposes only.