Individual
NICHOLAS R. BRAUKMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 662-5701
Mailing address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 662-5701
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
12952475-1205
UT
208M00000X
Hospitalist Physician
Primary
12952475-1205
UT
Other
Enumeration date
03/29/2021
Last updated
03/05/2025
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