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Organization
WALTER E BRACKELMANNS MD INC
Active
Organization
WALTER E BRACKELMANNS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER E BRACKELMANNS MD (PRESIDENT)
(818) 990-1225
Entity
Organization
Contact information
Practice address
14419 RIVERSIDE DR, SHERMAN OAKS, CA 91423-1713
(818) 990-1225
(818) 990-7070
Mailing address
14419 RIVERSIDE DR, SHERMAN OAKS, CA 91423-1713
(818) 990-1225
(818) 990-7070
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
G6575
CA
Other
Enumeration date
06/17/2008
Last updated
06/17/2008
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