Individual
BRYSON BRAASCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH,L ACU.
Contact information
Practice address
6821 WOODCREST DR, FORT WAYNE, IN 46815-5570
(260) 402-7643
Mailing address
6821 WOODCREST DR, FORT WAYNE, IN 46815-5570
(260) 402-7643
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
84000104A
IN
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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