Organization
LARRY BRAVER DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY BRAVER DO (OWNER)
(810) 694-0300
Entity
Organization
Contact information
Practice address
8245 HOLLY RD, STE 102A, GRAND BLANC, MI 48439-2443
(810) 694-0300
(810) 694-0710
Mailing address
8245 HOLLY RD, STE 102A, GRAND BLANC, MI 48439-2443
(810) 694-0300
(810) 694-0710
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2094329
—
MI
Enumeration date
02/26/2008
Last updated
11/13/2012
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