Individual
MR. DOUGLAS A BRAUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.I.S.W.
Contact information
Practice address
11900 FAIRHILL RD, SUITE 300, CLEVELAND, OH 44120-1062
(216) 791-8000
(216) 373-1814
Mailing address
11900 FAIRHILL RD, SUITE 300, CLEVELAND, OH 44120-1062
(216) 791-8000
(216) 373-1814
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I5700
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0959539
—
OH
01
—
9235411
MEDICARE PART B
OH
Enumeration date
12/26/2007
Last updated
12/26/2007
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