Individual
MR. PAUL ERIC BRAGENZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
930 S STATE RD STE 10, HARBOR SPRINGS, MI 49740-1166
(231) 242-0791
(231) 242-0913
Mailing address
1197 WOODLAND DR, PETOSKEY, MI 49770-9714
(231) 348-2024
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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