Individual
MICHAEL RYAN BRACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
205 PAGE RD, PINEHURST, NC 28374-8749
(910) 295-5511
(910) 420-1606
Mailing address
205 PAGE RD, PINEHURST, NC 28374-8749
(910) 295-5511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2016-02078
NC
207Q00000X
Family Medicine Physician
896
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2010
Last updated
07/21/2022
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