Individual
LARRY BRAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8245 HOLLY RD, STE 102A, GRAND BLANC, MI 48439-2443
(810) 694-0300
(810) 694-0710
Mailing address
8245 HOLLY RD, STE 102A, GRAND BLANC, MI 48439-2443
(810) 694-0300
(810) 694-0710
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LB007238
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0114765
HEALTH PLUS PARTNERS
MI
01
—
0152514765
BLUE CROSS BLUE SHIELD
MI
01
—
080192699
MEDICARE RAILROAD RETIREE
MI
05
—
2094329
—
MI
01
—
382400982
PPOM
MI
01
—
5251476
BLUE CARE NETWORK
MI
01
—
C3348
MCARE
MI
Enumeration date
07/19/2006
Last updated
11/08/2012
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