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Individual

DR. EDWARD VICTOR BRAUN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
604 MAIN ST., BELGIUM, WI 53004-0225
(262) 285-3881
(262) 285-3881
Mailing address
PO BOX 225, BELGIUM, WI 53004-0225
(262) 285-3881
(262) 285-3881

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2133-012
WI
111NN1001X
Nutrition Chiropractor
2133-012
WI
111NR0200X
Radiology Chiropractor
2133-012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100065894
WI
01
39-1584331
EMPLOYER IDETIFICATION NU
WI
Enumeration date
03/09/2007
Last updated
10/09/2023
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