Individual
DR. RICHARD DIX BRATTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1277 E CEDAR AVE, GLADWIN, MI 48624-7004
(989) 426-3689
(989) 426-3694
Mailing address
1277 E CEDAR AVE, P.O. BOX 685, GLADWIN, MI 48624-7004
(989) 426-3689
(989) 426-3694
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5101007782
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0152616155
BLUE CLOSS & BLUE SHIELD
MI
05
—
114726246
—
MI
Enumeration date
08/25/2006
Last updated
01/30/2014
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