Individual
TAYLOR LEE BRAUNBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2615 FAIRWAY ST, DICKINSON, ND 58601-2590
(701) 456-6000
(701) 456-6195
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
20321
ND
208D00000X
General Practice Physician
4301112111
MI
Other
Enumeration date
03/25/2016
Last updated
01/29/2025
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