Provider Demographics
NPI:1134914336
Name:BRAUND, PAMELA MAY
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:MAY
Last Name:BRAUND
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 48
Mailing Address - Street 2:
Mailing Address - City:AFTON
Mailing Address - State:MI
Mailing Address - Zip Code:49705-0048
Mailing Address - Country:US
Mailing Address - Phone:231-445-0821
Mailing Address - Fax:
Practice Address - Street 1:3096 W M 32
Practice Address - Street 2:
Practice Address - City:GAYLORD
Practice Address - State:MI
Practice Address - Zip Code:49735-9753
Practice Address - Country:US
Practice Address - Phone:231-445-0821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty