Individual
DR. MICHAEL A BRAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 MEDICAL CENTER DR STE 101, SLIDELL, LA 70461
(985) 875-2727
(985) 875-2784
Mailing address
105 MEDICAL CENTER DR STE 101, SLIDELL, LA 70461-5537
(985) 875-2727
(985) 875-2784
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
10888R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120307
—
MS
05
—
1490440
—
LA
Enumeration date
11/02/2005
Last updated
01/22/2020
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