Individual
DAVID BRUCE BRAUNSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
24 JOLIET STREET, SUITE 401, DYER, IN 46311
(219) 865-0893
(219) 865-3599
Mailing address
3615 PARK DRIVE, SUITE 203, OLYMPIA FIELDS, IL 60461
(708) 748-9800
(708) 748-9807
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
02002225
IN
207RC0000X
Cardiovascular Disease Physician
Primary
02002225A
IN
207RC0000X
Cardiovascular Disease Physician
036-049891
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100363490A
—
IN
Enumeration date
01/05/2006
Last updated
03/09/2011
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