Individual
DR. STEPHANIE MARIE-COHEN BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4660 S HAGADORN RD STE 600, EAST LANSING, MI 48823-5383
(517) 267-2460
(517) 884-8602
Mailing address
4660 SOUTH HAGADORN ROAD, SUITE #600, EAST LANSING, MI 48823
(517) 884-2976
(517) 432-3928
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
4301113538
MI
208600000X
Surgery Physician
4301113538
MI
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
4301113538
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881892388
—
MI
Enumeration date
07/05/2007
Last updated
04/09/2019
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