Individual
GINA BRAVATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 JOHN ST STE N1200, KALAMAZOO, MI 49007-5318
(269) 341-7979
Mailing address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
4301512651
MI
390200000X
Student in an Organized Health Care Education/Training Program
4351046939
MI
Other
Enumeration date
06/03/2020
Last updated
09/23/2024
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