Organization
ANKLE & FOOT ASSOCIATES OF NORTHERN MICHIGAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN M BRAUSA D.P.M. (CO-PRESIDENT)
(989) 275-3668
Entity
Organization
Contact information
Practice address
408 LAKE ST, ROSCOMMON, MI 48653-7663
(989) 275-3668
Mailing address
408 LAKE STREET, P.O. BOX 949, ROSCOMMON, MI 48653
(989) 275-3668
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901002144
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480G210210
BCBS GROUP #
MI
Enumeration date
02/28/2007
Last updated
02/19/2024
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