person
Dr. Brian M Brausa, DPM
Foot & Ankle Surgery Podiatrist in Roscommon, Michigan
NPI 1659411619

Brian M Brausa is a Foot & Ankle Surgery Podiatrist based in Roscommon, MI and is specialized in Foot & Ankle Surgery. Brian M Brausa practices in Roscommon, MI and has the professional credentials of DPM. The NPI Number for Brian M Brausa is 1659411619 and holds a License No. 5901002144 (Michigan).

The current practice location address for Brian M Brausa is 408 Lake St, Roscommon, MI and can be reached out via phone at 989-275-3668.

Location: 408 Lake St, Roscommon, MI, 48653-7663
person
Provider Profile Details
NPI Number
1659411619
Provider Name
Brian M Brausa
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
408 Lake St, Roscommon, MI, 48653-7663
Phone Number
989-275-3668
Fax Number
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4857210430 01 MI BCBS PIN #
BB002144 01 MI BCBS LICENSE #
5198720 05 MI
institution
Provider Business Practice Location Address Details
Address
408 Lake St
City
State
Zip
48653
Phone Number
989-275-3668
Fax Number
person
Provider Business Mailing Address Details
Address
408 Lake St
City
State
Zip
48653
Phone Number
989-275-3668
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
5901002144 (Michigan)
Definition
Definition to come...
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