Individual
SAMUEL D BRAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2222 KWIK TRIP WAY, LA CROSSE, WI 54603-3238
(608) 781-5848
(608) 781-5587
Mailing address
606 WASHINGTON ST, DECORAH, IA 52101-2266
(507) 206-9472
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
079619
IA
363A00000X
Physician Assistant
12647
MN
363A00000X
Physician Assistant
Primary
5381-23
WI
Other
Enumeration date
11/11/2015
Last updated
03/24/2022
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