Individual
MARVIN D BRAUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
114 E 6TH ST, GREGORY, SD 57533-1464
(605) 835-8737
(605) 835-8738
Mailing address
114 E 6TH ST, GREGORY, SD 57533-1464
(605) 835-8737
(605) 835-8738
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
577
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0082501
BCBS
—
05
—
10025344000
—
NE
05
—
7602290
—
SD
Enumeration date
09/29/2006
Last updated
10/30/2012
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