Individual
ROBERT E. BRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3303 TRIER RD, FORT WAYNE, IN 46815-4768
(260) 484-9990
(260) 484-6573
Mailing address
3303 TRIER RD, FORT WAYNE, IN 46815-4768
(260) 484-9990
(260) 484-6573
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
12009838
IN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901016892
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000086696
BCBS/ANTHEM
IN
05
—
200147440
—
IN
Enumeration date
07/19/2006
Last updated
02/12/2013
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