Individual
DR. DIANE W BRAZA
Active
Individual
DR. DIANE W BRAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
29706
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000176N
HUMANA
—
05
—
1467404970
—
WI
Enumeration date
05/16/2006
Last updated
02/08/2013
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