Individual
LARRY BRAUNSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14 PINE ST, MOUNTAIN TOP, PA 18707-1311
(952) 595-1100
(612) 294-4903
Mailing address
11995 SINGLETREE LN, SUITE 500, EDEN PRAIRIE, MN 55344-5347
(952) 595-1301
(612) 294-4903
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD056535L
PA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD056535L
PA
Other
Enumeration date
09/28/2005
Last updated
11/12/2019
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