LAURIE S BRAKER MD PLC

LAKE ODESSA, MI
NPI1942509666
Entity TypeOrganization
Authorized ContactLAURIE BRAKER
Owner
616-374-7660
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  4301080130)
Enumeration Date2011-03-21
Last Update Date2011-03-21
Business Address
LAURIE S BRAKER MD PLC
4294 LAUREL DR
LAKE ODESSA, MI 48849-8430
Phone number: 616-374-7660
Mailing Address
LAURIE S BRAKER MD PLC
4294 LAUREL DR PO BOX 578
LAKE ODESSA, MI 48849-8430
Phone number: 616-374-7660
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