Individual
DR. KRISTEN J BRACKLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
900 BLOOD RD, TECUMSEH, MI 49286-9575
(432) 212-2944
(734) 661-0406
Mailing address
7700 CODY LN, APT3306, SACHSE, TX 75048-6629
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101012874
MI
207Q00000X
Family Medicine Physician
Primary
DO205724
OR
207Q00000X
Family Medicine Physician
K5173
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29935601
—
TX
Enumeration date
11/27/2006
Last updated
03/21/2022
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