Walter E Brackelmanns Md Inc | |
14419 Riverside Dr Sherman Oaks CA 91423-1713 | |
(818) 990-1225 | |
(818) 990-7070 |
Full Name | Walter E Brackelmanns Md Inc |
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Speciality | Community/behavioral Health |
Location | 14419 Riverside Dr, Sherman Oaks, California |
Authorized Official Name and Position | Walter E Brackelmanns (PRESIDENT) |
Authorized Official Contact | 8189901225 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Walter E Brackelmanns Md Inc 14419 Riverside Dr Sherman Oaks CA 91423-1713 Ph: (818) 990-1225 | Walter E Brackelmanns Md Inc 14419 Riverside Dr Sherman Oaks CA 91423-1713 Ph: (818) 990-1225 |
NPI Number | 1538320114 |
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Provider Enumeration Date | 06/17/2008 |
Last Update Date | 06/17/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538320114 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | G6575 (California) | Primary |
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