Organization
FREDERIC H.T. BRAUN, M.D. P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERIC H.T. BRAUN M.D. (OWNER)
(360) 733-3696
Entity
Organization
Contact information
Practice address
1633 BIRCHWOOD AVE, SUITE 103, BELLINGHAM, WA 98225-9220
(360) 733-3696
(360) 733-9202
Mailing address
1633 BIRCHWOOD AVE, SUITE 103, BELLINGHAM, WA 98225-9220
(360) 733-3696
(360) 733-9202
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00013524
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041979
—
WA
Enumeration date
12/29/2009
Last updated
12/29/2009
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