Individual
BRADDOCK T CUMMINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 PEELER ST, KALAMAZOO, MI 49008-2300
(269) 345-8618
(269) 345-1508
Mailing address
900 PEELER ST, KALAMAZOO, MI 49008-2300
(269) 345-8618
(269) 345-1508
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704234585
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704234585
RN LICENSE
MI
Enumeration date
09/17/2010
Last updated
01/14/2011
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