Individual
KAREN BRANSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RT
Contact information
Practice address
12210 FRIDAY Q.1 RD, RAPID RIVER, MI 49878-9782
(906) 630-0464
Mailing address
12210 FRIDAY Q.1 RD, RAPID RIVER, MI 49878-9782
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
440816
MI
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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