Individual
ENRICO BRAUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
E6112 E BLUFFVIEW RD, IRONWOOD, MI 49938-9367
(906) 932-2231
(906) 932-2620
Mailing address
N10565 GRANDVIEW LN, IRONWOOD, MI 49938-9622
(906) 932-1500
(906) 932-5630
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301069420
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020053604
PALMETTO GBA
—
01
—
1032245
PREFERREDONE
—
01
—
123M6BR
BCBS
MN
05
—
31966800
—
WI
01
—
383005582001
HEALTHNET FEDERAL SERVICE
—
05
—
4436470
—
MI
01
—
700B710030
BCBS
MI
01
—
EB069420
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
07/13/2005
Last updated
04/07/2010
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