Provider Demographics
NPI:1619671682
Name:BRAMBERGER, JOANN
Entity Type:Individual
Prefix:MS
First Name:JOANN
Middle Name:
Last Name:BRAMBERGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1587 W DEAN RD
Mailing Address - Street 2:
Mailing Address - City:TEMPERANCE
Mailing Address - State:MI
Mailing Address - Zip Code:48182-9273
Mailing Address - Country:US
Mailing Address - Phone:141-939-2522
Mailing Address - Fax:
Practice Address - Street 1:3330 GLENDALE AVE TOLEDO OHIO 43614
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-4361
Practice Address - Country:US
Practice Address - Phone:419-242-9955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator