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Individual

NICHOLAS C BRAUTIGAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9000 N MAIN ST, ENGLEWOOD, OH 45415
(937) 734-9530
Mailing address
10949 SHALLOW CREEK CT, CENTERVILLE, OH 45458-7501
(806) 445-1500
(806) 445-1500

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.127322
OH

Other

Enumeration date
03/22/2013
Last updated
07/16/2020
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