Individual
DR. WILLIAM ISAAC BRAUNSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2531 JOPPA AVE S, ST LOUIS PARK, MN 55416-3949
(952) 929-4085
Mailing address
2531 JOPPA AVE S, ST LOUIS PARK, MN 55416-3949
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34558
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22589
MEDICAL LICENSE
WI
01
—
34558
MEDICAL LICENSE
MN
Enumeration date
08/09/2007
Last updated
08/09/2007
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