Individual
DR. JULIANNE BRACKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1120 POLARIS PKWY, SUITE 200, COLUMBUS, OH 43240-4042
(614) 880-9333
(614) 880-9331
Mailing address
PO BOX 1834, POWELL, OH 43065-1834
(614) 880-9333
(614) 880-9331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-007476
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000250558
ANTHEM
OH
05
—
2358587
—
OH
Enumeration date
03/16/2006
Last updated
12/11/2012
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