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Individual

BRASWELL DRUE DEEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
22250 PROVIDENCE DR, 5TH FLOOR.FL 5, SOUTHFIELD, MI 48075-4825
(248) 849-3441
(248) 849-5389
Mailing address
15990 W 9 MILE RD, SOUTHFIELD, MI 48075-4826
(248) 849-4226
(248) 849-4240

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301064835
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
339549910
MI
Enumeration date
06/09/2005
Last updated
02/24/2011
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