Individual
ROBERT J BRACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1650 LEE LANE, BELOIT, WI 53511-1842
(608) 364-2410
(608) 362-7643
Mailing address
1905 HUEBBE PKWY, BELOIT, WI 53511-1842
(608) 364-2410
(608) 362-7643
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
32834020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11453
DEAN HEALTH PLAN HMO
—
05
—
31768700
—
WI
Enumeration date
08/04/2006
Last updated
07/08/2007
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