Individual
GINA BRAAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1500 E SHERMAN BLVD, MUSKEGON, MI 49444-1849
(231) 672-3916
Mailing address
17097 ROOSEVELT RD, SPRING LAKE, MI 49456-1248
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601012002
MI
Other
Enumeration date
09/07/2023
Last updated
11/21/2024
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