Individual
RENE A BERAUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 W CHISHOLM ST, ALPENA, MI 49707-1401
(989) 356-7390
(989) 356-8013
Mailing address
703 CAPRICORN DR, FRANKLIN, IN 46131-7389
(989) 356-8013
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301064253
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4523047
—
MI
01
—
RB064253
BLUE CROSS BLUE SHIELD
MI
Enumeration date
12/12/2006
Last updated
07/08/2007
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