Doctor Name: | DR. RICHARD DIX BRATTON |
NPI Number: | 1528175262 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 5101007782 |
Business Practice Address: | 1277 E Cedar Ave Gladwin, MI - 486247004 |
Business Phone Number: | 9894263689 |
Business Fax Number: | 9894263694 |
Mailing Address: | 1277 E Cedar Ave, P.o. Box 685 GLADWIN |
State: | MI |
Postal Code: | 486247004 |
Phone Number: | 9894263689 |
Fax Number: | 9894263694 |
NPI Enumeration Date: | 08/25/2006 |
NPI Last Update Date: | 01/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 5101007782 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |