Individual
DR. MARVIN DONALD BRAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 W FERN AVE, REDLANDS, CA 92373
(909) 793-3311
Mailing address
PO BOX 10069, SAN BERNARDINO, CA 92423-0069
(909) 335-4188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101045088
VA
208M00000X
Hospitalist Physician
Primary
G156438
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006037011
—
VA
01
—
068517
BCBS
VA
Enumeration date
07/19/2005
Last updated
08/28/2018
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