Individual
MR. GUADALUPE BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
(313) 576-1865
Mailing address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
(313) 576-1865
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
10/03/2008
Last updated
05/01/2013
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