Individual
CHI L BRAUNREITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 391-2086
Mailing address
100 MICHIGAN ST NE, MC 109 ATTN JULIE L, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
4301087177
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
381360529
TAX ID
MI
Enumeration date
05/17/2006
Last updated
08/01/2023
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