| Larry Braver Do Pc | |
|
8245 Holly Rd Ste 102a Grand Blanc MI 48439-2443 | |
| (810) 694-0300 | |
| (810) 694-0710 |
| Full Name | Larry Braver Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 8245 Holly Rd, Grand Blanc, Michigan |
| Authorized Official Name and Position | Larry Braver (OWNER) |
| Authorized Official Contact | 8106940300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Braver Do Pc 8245 Holly Rd Ste 102a Grand Blanc MI 48439-2443 Ph: (810) 694-0300 | Larry Braver Do Pc 8245 Holly Rd Ste 102a Grand Blanc MI 48439-2443 Ph: (810) 694-0300 |
| NPI Number | 1568631315 |
|---|---|
| Provider Enumeration Date | 02/26/2008 |
| Last Update Date | 11/13/2012 |
| Medicare PECOS PAC ID | 7416912811 |
|---|---|
| Medicare Enrollment ID | O20041124000752 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568631315 | NPI | - | NPPES |
| 2094329 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Michigan) | Primary |
| Provider Name | Larry Braver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922028612 PECOS PAC ID: 6406811819 Enrollment ID: I20080618000630 |
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