Individual
DR. BRYCE JAHNOTHAN BRAAKSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4815 LIBERTY AVE, STE 250-252, PITTSBURGH, PA 15224
(708) 747-4000
Mailing address
4815 LIBERTY AVE, STE 250-252, PITTSBURGH, PA 15224-2156
(708) 747-4000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OS019395
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/07/2013
Last updated
08/14/2018
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