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Individual

DR. ROBERT E BRAMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
21000 E 12 MILE RD, SUITE 111, SAINT CLAIR SHORES, MI 48081-1116
(586) 779-7610
Mailing address
21000 E 12 MILE RD, STE 111, ST CLAIR SHORES, MI 48081
(586) 779-7610
(586) 445-2523

Taxonomy

Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
RB041151
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0405041562
BLUE CROSS BLUE SHIELD
MI
01
101300
CARE CHOICES
01
103636
GREAT LAKES HEALTH
01
1886647001
CIGNA
05
2968201
MI
01
4243097
AETNA
01
79301
BLUE CARE NETWORK
01
C4728
MCARE
01
F50680
HEALTH ALLIANCE PLAN
Enumeration date
10/02/2006
Last updated
10/09/2007
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