Individual
MR. MIQUEL A BRAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 S JAMES ST, DOVER, OH 44622-3206
(330) 602-7707
(330) 602-6071
Mailing address
420 S JAMES ST, DOVER, OH 44622-3206
(330) 602-7707
(330) 602-6071
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
52476
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0664222
—
OH
Enumeration date
08/01/2005
Last updated
10/23/2009
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