Individual
KYLE BRAULICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5025 EDINBURGH WAY, BIG LAKE, MN 55309-8271
(507) 276-6102
Mailing address
5025 EDINBURGH WAY, BIG LAKE, MN 55309-8271
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2000003555
MN
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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