Individual
DR. MARY PATRICIA BRAEUNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-4076
Mailing address
PO BOX 750243, DAYTON, OH 45475-0243
(937) 709-5051
(937) 709-5050
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35078139
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200281470
—
IN
05
—
2189500
—
OH
05
—
64016207
—
KY
Enumeration date
05/17/2006
Last updated
10/31/2023
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