Individual
PATRICK LYNDON BRAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1490 RIVERS EDGE TRL, ALTOONA, WI 54720-2755
(715) 828-2368
Mailing address
1490 RIVERS EDGE TRL, ALTOONA, WI 54720-2755
(715) 828-2368
(509) 545-4861
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8041-23
WI
363A00000X
Physician Assistant
PA.0005856
CO
363AM0700X
Medical Physician Assistant
PA60400481
WA
Other
Enumeration date
09/22/2013
Last updated
10/07/2024
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