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Individual

WALTER M BRAUNOHLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4100 LAKE DR SE, SUITE 300, GRAND RAPIDS, MI 49546-8292
(616) 267-8860
(616) 267-8442
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301033782
MI
207XS0106X
Orthopaedic Hand Surgery Physician
4301033782
MI

Other

Enumeration date
03/29/2006
Last updated
11/29/2018
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