Provider Demographics
NPI:1659515732
Name:BRAUN, CHARLES NATHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:NATHAN
Last Name:BRAUN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:24 FRANK LLOYD WRIGHT DR
Mailing Address - Street 2:PO BOX 0446 LOBBY J
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9484
Mailing Address - Country:US
Mailing Address - Phone:734-747-6766
Mailing Address - Fax:734-222-3100
Practice Address - Street 1:5333 MCAULEY DR
Practice Address - Street 2:STE 6109
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1014
Practice Address - Country:US
Practice Address - Phone:734-712-1400
Practice Address - Fax:734-712-1670
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-21
Last Update Date:2014-07-01
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Provider Licenses
StateLicense IDTaxonomies
MI43011024752084N0400X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology