Most Relevant Information
Provider Data
NPI Number: | 1003515438 |
Provider Name: | MICHAEL G BRAUN SAC-IT |
Entity Type: | Individual |
Taxonomy Code: | 101YA0400X |
Specialty: | Counselor |
License Number: | 20174 |
Most Important Dates
Enumeration Date: | 02/24/2023 |
Last Updated: | 05/16/2023 |
Provider Practice Location
203 W SUNNY LN
JANESVILLE
WI
535469091
Practice Location Phone/Fax
Phone: | 6087414500 |
Fax: | 6087414502 |
Provider Mailing Location
203 W SUNNY LN
JANESVILLE
WI
535469091
Provider Mailing Phone/Fax
Phone: | 6087414500 |
Fax: | 6087414502 |