Individual
DR. MARTIN PAUL BRAUWEILER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1310 N. MAIN ST STE 101, SANDWICH, IL 60548-1616
(815) 786-2173
(815) 786-2153
Mailing address
1310 N. MAIN ST STE 101, SANDWICH, IL 60548-1616
(815) 786-2173
(815) 786-2153
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036082051
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036082051
—
IL
Enumeration date
06/09/2006
Last updated
12/06/2007
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