ANKLE & FOOT ASSOCIATES OF NORTHERN MICHIGAN PC
Medical Practice at Lake St, Roscommon, MI

License number
Michigan 5901002144
Category
Medical Practice
Type
Foot & Ankle Surgery
Owner
Name: DR. BRIAN M BRAUSA D.P.M.
Title: CO-PRESIDENT
Phone: (989) 275-3668
Address
Address
408 Lake St, Roscommon, MI 48653
National Provider ID: 1003943861
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ANKLE & FOOT ASSOCIATES OF NORTHERN MICHIGAN, PC

Roscommon, MI

Industry:
Podiatrist's Office
Registration:
Jan 29, 2007
Addresses:
408 Lk St, Roscommon, MI 48653 (Physical)
PO Box 949, Roscommon, MI 48653 (Mailing)
State ID:
00516X
Business type:
Domestic Professional Service Corporation
Podiatrists:
Brian M. Brausa (Co-President, Principal),Tracy M. Bacik Podiatrist, inactive
Agent:
Brian Brausa

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