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Individual

DR. PHILLIP ROBERT BRAUNLICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2460 NW STEWART PKWY STE 104, ROSEBURG, OR 97471-1516
(541) 229-2663
Mailing address
2460 NW STEWART PKWY STE 104, ROSEBURG, OR 97471-1516
(716) 248-1753

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
LT22005
ME
207X00000X
Orthopaedic Surgery Physician
OS18517
FL
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
OS18517
OR
208D00000X
General Practice Physician
UO4916
FL

Other

Enumeration date
05/27/2016
Last updated
12/13/2024
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