Individual
MARK BRAUWEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
120 E 5TH ST, TIPTON, IA 52772-1731
(563) 886-3421
(563) 886-2083
Mailing address
PO BOX 860143, MINNEAPOLIS, MN 55486-0143
(319) 338-5700
(319) 338-5775
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06-65463
—
IA
Enumeration date
02/11/2016
Last updated
02/11/2016
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