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Search › Michigan › 104100000X

Theodore Braude

NPI 1215291331 · on the registry since 2012

Practice

Address
1103 S Washington Ave
Royal Oak, MI 48067
Phone
(586) 825-6483
Organisation at this address
Johanna E Champagne Llc
New Beginnings Center, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-07-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan