LAURIE S BRAKER

LAKE ODESSA, MI
NPI1073624573
Former NameLAURIE S VANDYKE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  4301080130)
Enumeration Date2006-08-31
Last Update Date2021-02-24
Business Address
Dr. LAURIE S BRAKER MD
4294 LAUREL DR
LAKE ODESSA, MI 48849-8430
Phone number: 616-374-7660
Mailing Address
Dr. LAURIE S BRAKER MD
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number: