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Individual
TERRILL DENNIS BRAVENDER JR.
Active
Individual
TERRILL DENNIS BRAVENDER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301104556
MI
2080A0000X
Pediatric Adolescent Medicine Physician
35091269
OH
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
4301104556
MI
Other
Enumeration date
10/23/2006
Last updated
07/31/2019
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