Individual
MICHAEL JAY BRAZELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IADC
Contact information
Practice address
505 5TH AVENUE, SUITE 600, DES MOINES, IA 50309
(515) 243-4200
(515) 284-5201
Mailing address
505 5TH AVENUE, SUITE 600, DES MOINES, IA 50309
(515) 243-4200
(515) 284-5201
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
IADC-06114
IA
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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