Organization
BRATTON CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD DIX BRATTON JR. D.O. (PRESIDENT)
(989) 426-3689
Entity
Organization
Contact information
Practice address
1277 E CEDAR AVE, GLADWIN, MI 48624-7004
(989) 426-3689
(989) 426-3694
Mailing address
PO BOX 685, GLADWIN, MI 48624-0685
(989) 426-3689
(989) 426-3694
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101007782
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0152616155
BLUE CROSS BLUE SHIELD
MI
05
—
114726246
—
MI
Enumeration date
01/10/2007
Last updated
07/23/2013
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