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Individual

DR. MARCUS RICHARD BRAATEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
4326 CHARLESTOWN RD # 2, NEW ALBANY, IN 47150-8542
(812) 945-0023
(812) 945-0291
Mailing address
4326 CHARLESTOWN RD # 2, NEW ALBANY, IN 47150-8542
(812) 945-0023
(812) 945-0291

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003432A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300012451
IN
Enumeration date
07/27/2006
Last updated
07/29/2019
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