Provider Demographics
NPI:1417910175
Name:BRAUN, MARGARET CORLESS (MD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:CORLESS
Last Name:BRAUN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3260 WESTBOURNE DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45248-5107
Mailing Address - Country:US
Mailing Address - Phone:513-263-1532
Mailing Address - Fax:513-263-8622
Practice Address - Street 1:3260 WESTBOURNE DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45248-5107
Practice Address - Country:US
Practice Address - Phone:513-674-1400
Practice Address - Fax:513-206-1904
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35084183207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2481961Medicaid
OHBR4138811Medicare ID - Type Unspecified
OH2481961Medicaid