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Individual

MARLON O'NEIL BRATHWAITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1852 ASHBURN DR, GOSHEN, IN 46526-6537
(574) 533-5808
(574) 534-7215
Mailing address
1852 ASHBURN DR, GOSHEN, IN 46526-6537

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01075074A
IN
208M00000X
Hospitalist Physician
01075074A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2012291240
IN
Enumeration date
05/04/2012
Last updated
02/06/2026
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