Individual
MICHAEL ANTHONY BRAUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2561 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49505-3725
(440) 479-3183
Mailing address
2561 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49505-3725
(440) 479-3183
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704347278
MI
163W00000X
Registered Nurse
RN.397971
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0020551
OH
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/20/2021
Last updated
06/28/2022
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