Individual
MR. MICHAEL ALLEN BRASKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
2604 OLYMPIC DRIVE, VIRGINIA BEACH, VA 23453
(757) 575-4752
Mailing address
2604 OLYMPIC DRIVE, VIRGINIA BEACH, VA 23453
(757) 575-4752
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
11/12/2009
Last updated
01/07/2010
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