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Individual

MARK BRAUN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1001 E 3RD ST, MEDICAL SCIENCES, JORDAN HALL 104, BLOOMINGTON, IN 47405-7005
(812) 855-8118
(812) 855-4436
Mailing address
1001 E 3RD ST, MEDICAL SCIENCES, JORDAN HALL 104, BLOOMINGTON, IN 47405-7005
(812) 855-8118
(812) 855-4436

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01026201A
IN

Other

Enumeration date
08/04/2009
Last updated
08/04/2009
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