Individual
RICHARD BRAWLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13531 AGNES ST, SOUTHGATE, MI 48195-1874
(734) 307-4706
Mailing address
13531 AGNES ST, SOUTHGATE, MI 48195-1874
(734) 307-4706
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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