Provider Demographics
NPI:1750642831
Name:BRANAM, STEPHANIE ANN (DO)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:ANN
Last Name:BRANAM
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:844 WASHINGTON AVE STE 1200
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49423-7186
Mailing Address - Country:US
Mailing Address - Phone:616-393-5336
Mailing Address - Fax:616-392-2889
Practice Address - Street 1:844 WASHINGTON AVE STE 1200
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-7186
Practice Address - Country:US
Practice Address - Phone:616-393-5336
Practice Address - Fax:616-392-2889
Is Sole Proprietor?:No
Enumeration Date:2012-06-05
Last Update Date:2024-01-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5101020011207RR0500X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine