Individual
MACKENNA BRAMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 W FOURTEENTH ST, TRAVERSE CITY, MI 49684-4050
(231) 252-1810
Mailing address
PO BOX 1594, ACME, MI 49610-1594
(231) 463-7174
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601013156
MI
Other
Enumeration date
07/17/2025
Last updated
07/18/2025
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